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EVERETT, WASH. / Approved By <br /> x c.�a/.� J�l. /97�' <br /> The Undersigned j�� = ���}� .�A`f`�--L.;::� Da�e Approved <br /> Hereby applies for permission to ��`-�5�2. �'. '�•:'� ' � � ' ' ` = /-� � �.; ' . r=' �.�\ r� � \h% ;'� `,� <br /> At the following location �53 t 'P�1 t�C� ���� <br /> SKETCH <br /> (Work to be donel _ I _r� <br /> +�. <br /> � � i �,i' . � _r <br /> � ' <br /> I � <br /> 3s31 � <br /> � <br /> m <br /> -- , <br /> � <br /> - - - - - �� - - - - - - - --- - - -- <br /> —�— � —' �13 <br /> PAIA.IE �V� � <br /> — __ � 1 �- ----- ----- <br /> , -- <br /> i � <br /> � <br /> I <br /> , <br /> Thc undersigned owncr hn.reby agrees to hold and sove harmless the City of Voriance Reqv�rer� <br /> Everell from any and o�l cloims ior damages Ihal moy orise because of Ihe <br /> inslolbtion ond mointenoncc ol ihe improvemenl hereto applied for ond Yes . .. . . _.__ _ .... <br /> further ogrees to remove some upon notice from fhe City ond �o reploce oll No _ ...._....._._ . _ <br /> public property damaged :nereby. <br /> , '' �._ t . ;.� ' . <br /> ORIVEWAY SECTION . i ,� � <br /> � SCALE ' 'S� � � , � '.� <br /> � n- - i ) ? <br /> �j� � Signolure ol Appliranlf, <br /> � I" LIP .)��� �- � ;_�_ <br /> I 30 I 30�i f-, ., Addresf <br /> I�-1►1•— -. �r'. <br /> _ ,; <br /> Telephone Number <br /> � > — l�- �� i �%j, <br /> ( .fiH-»1r� (' L ' ;� n -y✓ �is. /y-d'7��1 Dafe <br /> Inspecfor'� �ignafure � � � p <br /> � . �-F Pc� � � b--� <br /> �1%���..G'iC.'..f� ����� � t;', 'D .` t� '�tLG Fee 'j 3HyS7 <br /> oa1� <br /> 1� � 5-�¢ <br /> DEPT. PR Y 5 , <br /> Remarki % <br /> �- <br /> Engine if�- <br /> Wafer <br /> Slreet ,�'*� � -�� o r , ,�y . <br /> Communicalion . � "�_�� : <br /> Tmffic_„r --��r � <br /> Planningl_i._r_�� � < " .,r. <br /> / / <br /> : ,20VID[ - -__. _ <br /> Call Errin; �ir., U.; ! . :; ��:; ' ' ;" F� � 1-ROPER DRAhVA�E ' <br /> 11 No�� ' °fore ��i�=CK WiTH WATER � <br /> �'n�.truct�' �f.atleA. �"�-"r. fGR VJATFR LINC <br /> . � .., > �� ,. � . . 'r'. �.. — �— ------•--�,.,�..I . � <br /> , :.,y, <br />