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! �fT�=�,�.;� ?� iiT.� <br />The Undersigned -��-"�fHs�(7 ����%7�i�f.-������ Dmc Approved <br />Hereby applies for permissian to !"--�+"'i :.' F'- :J` %;""� �� ,_>. �, G 1`� Fll,l� L µ` i'._ ;�;%i�� i/r� y <br />5D2/ QL-=�),�/ �r/�, <br />At the following location � � <br />SKETCH <br />IWork to be done) �" <br />-l�� CULI�,=:.,'.- <br />I I - <br />j=c- _ D�_'t�; ; ; .-..: <br />� <br />Q <br />� <br />U <br />O <br />The undersigned owr,er hereby agrees to hold and savc harmlest Ihe City of <br />Everetl from ony and all clnims for damoges that m�/ orise becouse of �he <br />insiallotion and maintenance of the improvemenl hereto applied lor and <br />{urther agrees to remove same upon nolice irom the City and to replace all <br />public property damaged thcreby. <br />DRIVEWAY SECTION <br />NO SCALE <br />- 2�� -- <br />�+I° LIP <br />;-3°'�}- �s' 30„ <br />�,' o �r ����5 � � ' �' 1 � <br />Inspxtor's Signolure <br />_�i � C.�fCGk�G� �� `'� � <br />Dafe <br />Remarks <br />CK b`.�ITH 1^JATER � <br />Varionce Required <br />Yes . _..... <br />No. ...._. _.. <br />Address <br />��.5 -���� _ <br />ielephone Number <br />i:i�i'�. �;' <br />� / � >> <br />; �;.��- <br />�, <br />� Dale : / — l. z - 7� <br />s /O. DU �.L<G ;�.�E: <br />.('�ry=r' A�:v'tF> s9 <br />Fee <br />� ��1. � ��f �;� �,_ �� <br />DEPT. APPROVAlS <br />:�/_/5 '� <br />Engincen- ��� ���� -. //� ��-'� <br />Woler .l. i�. k.'�Y � -�� i� //-/C�'7,:- <br />StrcM �- �� � • <br />Communicatio,Jrs ' -j��=�' • - .-'�� c:- `- , <br />Traffic _.i'. /.�.(:- I/- Z �; - 7 z. <br />a , <br />Planningi� +i ! ' i i�r' ' � —1 •� -7�,.. <br />PF;UrLit UfzAiWk�L <br />