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f �r`-;!/'%„ <br /> EVERETT, WASH. �5' Approved ey <br /> /�� �� � ! � <br /> � � f'"� L.� �t~�I i`�V�� Date Approved <br /> The Undersigned t <br /> Hereby applies for permission to <br /> �.f�� � •- '-,"i� - A � c-'� , � � _.. C(1l�CR ' '- •. � ,1:� ; r )/;�V, <br /> At �he following bcation -2� � � � n 1'`) �': -•� �� N\ �� <br /> • � I , <br /> SKETCH -- ..—._.�----- <br /> IWork to be dor,el <br /> �661= OF <br /> MOP��`��l'� A�/� PAV 'T <br /> � <br /> --- --- — - ; ---- —I I <br /> 'i � � i I <br /> I � . <br /> j I � �� <br /> N� -� <br /> xGr`,i.er 2010 � I K{ <br /> � <br /> � <br /> v' � <br /> EXI Sl{irtG II - I -7 <br /> GULV�.f2T f! I f � <br /> I L � tl so � � <br /> - — _ _ _ .. -- _.__._� , -, <br /> — � .� <br /> /a LLEY � .7. <br /> --- - -----, I � � ,� -- <br /> � <br /> � <br /> The under:igned owner hereby agrees to hold and save harmless the Cify of Voriancc Required <br /> Everel! lrom any and all claims for domages thal may arize be:ausc of Ihe <br /> Yes_..._.... ._....__..... <br /> installalion and maintenance of fha improvemenl herelo applied for and No <br /> .............__.._...... <br /> {urther agrees to remove same upon notice (rom the City and to replace all <br /> public property damaged thereby. <br /> DRIVEWAY SECTION �j0��"� �� �/ J�``''`-'"i.� � <br /> NO SCALE �Signafure of Applicanf <br /> �---- 2 � - �I . <br /> � :j `.� , 2 Q Jc ¢�w�-`c.-� S,�f" <br /> I�� LIP —T Address <br /> r 30�.�. - 30 � C �.. ',""t � 1 `�e? � <br /> ielephone Number <br /> 1�� /z �� � � <br /> oore <br /> < <. 30 � 73 � -^� d �/ ,A <br /> Inspecror's Signalure � S ��p`• .�' /�/Z- 75 <br /> .SITG C.`H�CkED //- 14-73 i'�`'y`r �L�r�. �G..� Fee <br /> Dafe ��—/Z—�� <br /> �EPNPPROV S <br /> Remarkt Engincers � -r �-'{� Ch'��_ //`� /�5 <br /> Waler�..s � lr't""�. <br /> Slrcct �., � /e ._.,<. .� � <br /> Communicalions �'�� y <br /> Tra((ic ��".':"..` /—�— <br /> Planning , ��'��rT3 <br /> PROVID[ FOR <br /> PROPEF DRAINAGE " "���r� <br /> Call Engmee�in,� Dcpt 25988i3 <br /> 2� Nnurs be(Ort CVILCK WITH WATLR <br /> Di-PT. fOR VJATCi' �IIvF <br /> COOSfNC�IL41 IS pti. I �v`PSIOt,l� EiFF0�2`� Eii A;'P.1"Ifl�i ��� <br /> ��/ � �e,._ . "l� erzo�A. <br /> � . <br />