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CITY ENGINEERS <br />Approved By <br />EVERETT, WASH. <br />f�-�;aii�,p�z.�1p�3 <br />Date Approvcd <br />The Undersigned � ��� n`J �r, . � '`� , ,\�� � `� r'`I � `� r , <br />. 2.5 � n�• �=—' , � �_ <br />Hereby applies for permission to � N�r � ' <br />3n-�� Qi�c��"FL AVE �n�z��,�.•,,; , ,�,�i •=,QT'.' _, � <br />At the following location . <br />SKETGH <br />IWork to be donel <br />� �� <br />RU� k.t�' f c�JE <br />The undersigned owner hereby agrees to hold ond save harmlezs the Cily of <br />Evercu from any and all daims for damaQes fhat moy arise bemuse of the <br />ins�alla�ion and maintenance ol 1he improvement here�o applied fur and <br />furlher agrees to remove same upon no�ice from �he Cily ond to replace all <br />publiC properly damaged fhereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />f----- z-s'--'1 <br />+I" �IP <br />� 30" I _�_30"J <br />u; o�`�- l: <br />Inspecfor's Signofure <br />� �N <br />,tia- � , <br />��� <br />S' �= C�/6Gi« � ;27-73 <br />Date <br />l' �. .. 1 <br />��1 <br />� i ,�"'� <br />.a — <br />UEF'T. FOh :l'!\1 Lr '��i: _ <br />L� rqTln� �- nFc�'' E , . . •.� <br />CF E.C�Snh'';'�: <br />ULK k��Tf% L' <br />iJ� �ia t''e <br />Variance Required <br />� Yes ............_._...... <br />/ ' N�' __ __.... _.. <br />i�iJa`' o l�t J'�' /� i.� � F--� 5 t=`'y'� . <br />I <br />p�� �'"��.,,.�...-.m- <br />V - • � � w��� Cl <br />Signa�ure of Applicanl <br />l�l r��. yir �-,�.t.� <br />Address <br />,''�' t/ I `% � �!' <br />ielephone Number <br />i � �'O — '� r _ <br />Dafe <br />s 12 5-° �� �-� -7 3 <br />, �" ��� <br />�[t� �J ��L�.. Fee <br />�_ - � � -% s <br />DEPT. PPPR. ALS <br />�) 1 <br />� , . .� '?r j— 7.� <br />Engineers.- , � <br />Waler 1 i• . N. sc ' "rr � d� E <br />$Ireet ' �' y ' � -� . . <br />Communicnlionz"' "71�=""��'��'" '"`�`–` � <br />r,l •7_ �J: _' J � <br />Tr0({iC ' <br />P�a����� �01���...� L—�—��s <br />11''wi: �c�+'�,i��l,' _ <br />\` <br />_ . . , ---e"-� -'( � <br />�� � .Ko� <br />