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EVERETT, WASH. Approved By <br />The Undersigned N�]CIlL�c--�7 PU-CM0M _.-s.,0,. _ Date Approved <br />Hereby applies for permission to 4-AND SCA,85 <br />OJT Lr�7i- �a-�E <br />%�`_ <br />}LQaV rC'UL Kii5Ac <br />i', 1�5 <br />4rID 421° Sr t CONST*QUCT <br />3 D/W rS (25 r, <br />28 r s' 35_') <br />4 CONSTRuC? <br />NEW S�w on a��. <br />At the following location 4.205 2 U C KEQ f4V E <br />SKETCH <br />(Work to be done) <br />iC/Gf/T P6AF <br />NEW <br />LANDSCANDING <br />RUCKER AVE, <br />3?r CONCRETE D/v✓ <br />NE.W 26' 20NC!RE.TE- <br />[)P_WEW. Y' <br />Na s��z'e- <br />t4EVq BUILD <br />ALLEY <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims for damages that may arise because of the <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove some upon notice from the City and to replace all <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />NO Q/A'r <br />•uj w�I <br />I" LIP <br />30" <br />1 30 <br />s <br />Inspector's Signature <br />Call Engineering Dept. 259 8813 <br />24 Hours txtore <br />f',on51r ctie -� -parted. <br />cl+,P"U "Opts coirduy% <br />1 �,-Y 776 (oA.1 fiucknr-� <br />—RF-MOVE EXISTING DtOP AN <br />REPL AC-E WITH APPPjOVFD CURL <br />No rE <br />CHECK WITH WATER <br />DEPT. FOR WATER LINE <br />LOCATIONS BEFORE EXCAVATION <br />LAMD5CAPIN5 <br />—NEW APP'p <br />cum nND <br />SIDEWALK <br />}— <br />U? <br />Q <br />z <br />N <br />PEW 35' <br />Variance Required <br />Yes ___ _....._.. <br />No.. ........... __.... . <br />Signature of Applicant <br />X.. " -, )-r <br />Address <br />Telephone Number <br />Date / <br />$ /, so <br />Fee 6. <br />:OVIDE FOR <br />L <br />,OFER DRAINAGE <br />Ko 4111P. <br />