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EVERETT, WASH. <br />The Undersign�d Jo4-4F.) �f� :�.�.)="'F"'i <br />� SS <br />Approved By <br />Datc Approved <br />Hereby applies for permission to Y i �- �- !� r.� 1—k � S ���'' � N V-�R n P�2���P `-. f�. �'' � h '�' <br />Pnk,—���N n= _.',, CZiG�-* oF� VJ(�y !f.l -r��r- �Ll_�� <br />At the following location '� -� � Q` �� +�`�'�A �- � =' ' <br />sKercH <br />IWork to be donel <br />, <br />-- _ - �--- <br />I, �� � <br />VA CA'[E D <br />NA55AU <br />I '� <br />5 �. <br />'r _ � 7 —7 ?. <br />Z3 i <br />/ 1 <br />V� <br />— � �I <br />-------`-- - — - - -- _ _ _.. --..--. —_'�—' _ .. - <br />��� i <br />� ; r , � EYlyi _r� ��y� <br />�//�• � ALLEY CbNCRCTt,i�n-Vf.QT�1J <br />l / ' • J �+—.SLoVGH n�p, Piac. <br />�..� .. i--_._.._.�.r._.___,__...__.___ _.__ ._ .__. _ . -. <br />�.JNc�.-1 rl�l. lS GOFtPI.E'iE7 <br />OwNEC� TO SMOUT�= 0���= <br />s�ouc��� r�rzC� �� p��.'(�►� - <br />� �A� I <br />Thc undersigned owner hereby agrees !o hold and save hormless the City of <br />Everelt (rom any and all claims for damages that moy arise because o( Ihe <br />installalion ond maintenance of Ihe improvemenl herato applicd for and <br />furlher agrees to remove same �pon notice from the Cily and to replace all <br />pub�ic property damaged Ihcreby. <br />DRIVEWAY SECTION <br />NO SCALE <br />� � <br />I" LIP <br />I� �,i� I 30�� <br />Inspeclor's Signafure <br />J/i r- �s�v � �L.v / -/� -7,j' <br />Dale <br />/ " �-' ��if� . . /. �r._� .�. 1 �.lCl1 <br />7 <br />% <br />-';�;', l <br />Iiour�� - <br />r � <br />, -,� <br />� �'i:-{'.'�; f�'; <br />��PT F OF? 1';`A1'CR LIPIF <br />�i!� , , <br />Variance Required <br />Yes................ .... _..... <br />No...... _ _. _. _ _ _. _. _.. <br />� /,% <br />, '.^�l�-�- `J �G f,� u.�. <br />' $ignalure of Applicanf <br />/y��/ �s 1'.. <br />•__I � I 0 /: �4'�-�.✓GWL" <br />Address <br />%�v- .,�- y ��S _ 1/% ;,7 - `',7,35'- <br />ielephone Num6er <br />/.� L�� -- % - .7 ' <br />Dc. : <br />S �, j� ''���` . <br />' �°� Fee <br />/L��� .'.' .�`-� . �'�- <br />DEPT. APPROVALS <br />Enginccrs _ <br />Wotcr �'. -, -- "- <br />Strect �' � ' '�' - � <br />Cummunicalion: _Gc+.7__• �+/`s.-> <br />TmBic _-�"'.� /` /..• - i,� <br />Planning `.•..�/" /���3 <br />, __ .._------ . .. <br />i "L,IIUc r�il� <br />;�`i-ER DRAINA;, <br />