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cVERETf, WASH. <br />The <br />, '� <br />"�A.��Lr_` �-I . 1 -� .a <br />ilpproved By <br />Dale Approved <br />- - � � <br />Hereby applies for permission to �-��tJ=� rX} � � �' �' '„�-' p^J �;)y!1 t7 J__'-� <br />T�. <br />� �- �` ' _ , �:_: E.� , ''" <br />At ihe following bcation --' � _ � — `' � �� <br />SKETCH <br />IWork to be donel <br />}.r _; I �' <br />5q O � <br />Yd:i ..."�A;� <br />•�.'oNC/tETE S��AF3 <br />C� /—'!a ✓ C L <br />I IN��AI,i <br />� �iT^'�� _-. — _ .. �' _- �— _. <br />{��y <br />FIR� 1-iYOc!���w't• _ - - — — — --� �.� <br />-- _, , . <br />�CEAN {�VE __ _ <br />The undersigned owner hereby agrees lo hold and save harmless the Cily of <br />Everett from any and all tlaims for damages thal may arisc becausc of the <br />installalion and mainlenonce o( the improvement hereto applied for ond <br />;arlher agrees ro remove same upon r,nlice from the Ci1y and to renlace all <br />pubiic property damaged Ihereby. <br />DRIVEWAY SECTION <br />NO SCALE � <br />����' <br />I� LIP <br />j�30 � 'i'3�l <br />L <br />S�/T/= CNECK.I=D h��.ZC-? � <br />Dale <br />��'yi 7 � � t <br />Remarks <br />-Gi.L� i� a <br />�z'� ���>�_��_,�� <br />— Z. <br />�7 �? Ai. t. <br />- '� <br />� <br />\ F_ Dc,e7 « <br />1� <br />i <br />� '- �� <br />Set+-� 1� ��u��.(i'c.�v � ��O✓r�cl . -�/-'4! , �/�� ' - <br />�y�� <br />', ' � � '��Ior: <br />tn_.� �� .�. � <br />�� i. <br />.:!: i l: <br />� CHECK WITH 1'�lATER <br />��PT. FOR V✓q1 �R LINE <br />LOCATIQNS BEFiiRE EXCI,VATION <br />AP ' '' <br />Variance Required <br />Yes.._ .._._... ...... <br />No.._.__ .____.__.... <br />l ; _- �/ � <br />G�i'i, t� i!� ./;i C ����/�,. <br />Signature of Applicanf / <br />/� j j �/ ^ / �: � <br />/ � � �- .� , �c�--� <br />���c• j;'�dd�' l�_� Ic',f . <br />C�tC�.- c': ,� <br />_3/ � �' �' � _ . �C <br />Telephone umber <br />i/ /_1<`/7. i <br />Da1e j�C�fC^,_�—,'7-_'.. <br />/� <br />i.-7 5f• � <br />S ��-�_�/t. _ s�i' _ <br />�G%`n %� <br />kt: fJ G', ;� ; F� - - t <br />�� <br />� <br />.� .- �C ' > <br />DEPT. APP�tOVALS <br />i ��� <br />Engineers � �( ' ' -c, !� _� -� _ � . <br />Water_� :; - . ;.. <br />s�rce� _ ,-•'- z s �-7> <br />Communitalioni,'� � a^*:," y:r���=i` <br />Plonning � �*-�� '-- .�. . - <br />� riiiJr'tk Gfi/`��,� <br />; <br />i <br />/KO+. <br />