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EVERETT, WASH. Approved ey <br />� �, » <br />7% %'i- r �/�/iC' .l }. �� / ,'� <br />I\/t \; �, ^'. �� . , � . (,_ _. Dote Approvetl <br />The Undersigned -- ' " <br />� <br />Hereby opplies for permission to � I ` =`p. t_ ' _ '-^� � \ � ) i .� �= �. `= �_'_� n'�' ;� �" ` � <br />At The following lomtion 3 3�' �"S ' � � r��" ')'` �' �--- /� l�E <br />SKETCH — <br />(Work to be donel <br />� � �.. <br />No <_�cla�.F � <br />;1r_Lr-'/ <br />rt-_k--w-� •— ..y.� y <br />� i � �`� <br />}�yy� I� �Gn�e <br />It i <br />I I �'�'3 � �i I <br />; <br />I � ^n _ �� <br />; i <br />� { , rb� �Hj�c.,v ,�r- ivc <br />I c <br />� i . i-6n�.... ci <br />+ Y.� . sc�n„ <br />� �� Gny� <br />�`��Ln� fi. - . ��-�� <br />i'!V �.l <br />1 ,L'� `Q <br />_ .Ir� <br />f -- �-,y — — --� �.-�o��� �� FA�.. <br />, , _ _ _ <br />. . �. <br />The vndersigned owner hereby agrees to hold and save harmless thc City o( <br />Everett f�om any and all claims for damages Ihat may orise because ol the <br />installation and mainlenance of the improvemenl here�o opplicd for and <br />(uriher agrees lo remove same upon nolice from Ihe Cily and to reploce oll <br />public property damaged thereby. <br />DRIVEWAI' SECTION <br />NO SCALE <br />,S, i � <br />� J. <br />�+ I" LIP <br />� ����_ � _—� .}.30 .� <br />��_ <br />�� G V`��9-� '`' �-4'� �'h /-` � <br />inspector's Signolure � i1 <br />� �r� c:yEc� c.0 iz-6 -7,2 <br />�at� <br />Varinnce Required <br />Yes__._.... ._. ._ ...... <br />tlo.. _......_. _... _ .... _. <br />c' �,.��. <br />,/.- .. � . . ..j ( <br />>r - <br />Sianature o( Applimnf ' <br />/c�:'. �.> r:' � /�%L�'„",�� �L • , - <br />, <br />� l_ . <br />Address <br />��. i .• <br />ielephone h�umber <br />/..2_ - '�- 7 z- <br />Da�e T - y-�� <br />5 5�` � � .' <br />j � �. -^-��li/n , , , ,. <br />� <br />; � , ee <br />I �c . F u . <br />il �-�_ n ���I <br />�'�Or��_�-�� N������ner• r�E�a�r_srs �i��r � <br />Remarks En�incers <br />LI�vE �E F_XT�.e1i��L To ��ANTc�2. ,f-��DUF.�% - WO1ef- <br />—� _'�N.,,...SIfElR_ <br />� -Communi� <br />a � _ _ _ _ . _ , . ,� Tmffic.� <br />� /�:.C��9;%� �r_'/✓Gc: �%nJ G:%T� .P L?-kl /5�i /fili,S' <br />, �X�/ir%�.t'C... :�`�`So�7/7_3 <br />, . ; <br />I . F('.; . �. <br />DEPT <br />T i _�_ -�._�2 <br />,:i .:ti � _� . <br />' � ; i- �'� <br />� '>-:�- <br />C (s-7=�� <br />I <br />��:i H ;,, i t u.': <br />� 'I;i„'i��' <br />�� <br />r , <br />� � -� �' y-; <br />: � . , <br />nrco �►. <br />