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- � � -� � , . .. � <br />The Undersigned � _� ��� � i til l�'1> �_> >,� � f i � �.' (_. �- i — <br />Here6y applies fur permission b �^J � 11:= N t=i: 1� �: t�: �� ✓�-� j 1�;= 6�/� �! %`/ �� <br />At ihe following location <br />G o cU aL '''�'��:'; � i�C !3L l�.L� <br />SKETCH <br />'Work to be done) <br />42"� <br />ST_ <br />The undersigned owner hereby agrees �o hold and save harmless the City of <br />Everett (rom any ond all claims !or damages that may arise because of the <br />inslallation and mainlenancc o( Ihe improvement hereto applied for and <br />(urlher agrees to remove some upon notice from the Cily and to replace oll <br />public proprrty damaged Ihereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />� � <br />r� � I�� LIP Jl <br />30" 30" <br />Inspecfoi s $ignafure <br />/ � � <br />L� �u % � -1� � ����' _ � �. <br />���� <br />%%i_= � �i=l"�- - `'.-/%-i;_� <br />Dale <br />, � ,� _ � ,.. � ,,_ <br />.. „iili i!�t- �te:'i �J�-oOli.S <br />'� HoUr fe �•�itCK 4'JI'tH UJAT[i: <br />. ��'.�r��n. ---` DCPT. FnR bd.4TER' • - <br />. ._ :�rir�: . � � - , . . <br />�cisTi;.s:; �^.;v�wa�r <br />/ � _ <br />/��'.t�./J`i .(..G.�j,%i� <br />Dalc Approved � <br />� <br />I; <br />D�'IV�Int,9Y ADl�I?toN <br />Variancc Required <br />Yes. .. .......... . . ...... <br />No. _. _. _. __._.. <br />�� �� �� � <br />�i �N,4�:�_` , < < ��Cr�ti�<<,` <br />Signalure of Applimnf \ <br />," �� <br />� _' ^ �','%v,;� ��c t�� � . <br />' ddress <br />E� �<n_ �_���� <br />� <br />�� - <br />ielephone Number <br />�7 <br />,��(!,%.���`� � '��-� � ��� <br />Dafe <br />� ' - �' r, . .. i7: <br />"� / �,�. <br />Fee <br />Dv��N : �Nl Bji�,/7� <br />DEPT. APPROVALS <br />�/ // �. <br />Engi eeri � <br />L fi _f /��. r��iS � �J ' / : - � -•. � <br />Water�� � a-, .�:_: � ' : '���� J��'� <br />Slreel _�: ,.t � �_ .a:.1L.�- � -�-, i, �.. <br />Planning <br />.__. __... _ ._.. <br />._.. ----� i <br />I F��.:IC!_ �' �Z � <br />II I'ftOP[R DRP,IyAi�E <br />I'-- ._. ,- -.. , <br />/ <br />—� <br />� <., ..�. <br />;, � <br />)_, <br />