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The Undersigned C� W � � ' �At~''�-''� <br />Dale Approved <br />Hereby applies for permission to �'�%1 � rI�UC 1' /`�j" � GR�? VEL �/�If/�wi�I % _ <br />AI the following loca�ion 3�'� � �UK/L jCl) ,�L'i%L/ <br />SKETCH <br />(Work to be donel <br />Norc� <br />FX/Si .NG I�1/qTE� Y,4LVE <br />/�'7AkKCP� �oN7z1c.%" <br />l�YAT�R DEPT. B�FORE <br />l�F_ Lf�CA i /NC - — <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everetl irom any and all cloims ior damages Ihal may arise because of Ihe <br />insfallotion and maintenance of fhe improvement hereto applied for and <br />further agrees 10 remove saine upon notice from Ihe City and to replace all <br />pvblic property dnmaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />f -- �s� -`i <br />+I" UP _� <br />�� 30'�f � �Q � 30" <br />Inspector's Signafure <br />; �l / i /z �/-%C C.'l��L` <� % -� - �i.:, <br />oare <br />Remarks <br />/ <br />�xtsri �.i� �RrvEwAY <br />MUKILTEO BLVD <br />ORIVEWAY <br />/ <br />No .SC.�7l c <br />Variance Required <br />Yes._.._.__..._. _....... <br />No_._ . .................... <br />?`3J�s � C Wi�%'�; �.f�2 <br />. �� �ti'��-r� .� }— <br />Signalure of Applicanf <br />Cali Eueineerme Dept. "t59,.z�� r �,;�-�E <br />24 HoulS b2fore CHECK WITH �NAI'ER <br />t,opSM' \ Is ,ta;ie�, DCPT. FOR P/ATER LIN� <br />i LC'�i1`i� ;�•' _`� ._�_7• <br />„� _ .� . . ,... <br />3�f 1� �f �,1 ��,—� � r3 �✓�. <br />Address <br />.3S'� 17�% <br />Telephone Number <br />�'-3� - -�a <br />Dale <br />n c <br />S S _ -' 1 �'� <br />Fee <br />�IIJA/.' i!'4 ��� i/ 7 <:' <br />� :�- <br />Waler.`s-�" ,'i'+'�i�W �L � :�[. -/ <br />\ StreeY ` .� � -: � A D��7 i t.�.;(... -7 <br />Communicotions � <br />Trof(ic <br />Plnnning <br />1 ): i �-,-, !� � : !c. `'� <br />'i�i`�,,..�i. � f-i ��� � � <br />��r,o�=tH oRa,irra�E <br />�, <br />AKO •�. <br />