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EVERETf, WASH. <br />. ` Approved By <br />J._ _ %Y <br />The Undersigned �'_� �'�-� ��� ����)�'� �°--`—'� Date Appmv�d <br />� � <br />Hereb a iies for ermi i <br />�,. '' ,;-.��c�? :� 23 ��1 �t': ia5{�-!_ �7i'.� 1'�%�i�J�+'-f <br />y pp p ss on <br />At fhe following location_ �� %�.� �V� � T <br />SKETCH <br />IWork to be done) <br />% 2 � -`.j <br />--� N5r„i� <br />_� � — .— <br />— 11 — <br />Y�w - - <br />The undcrsigned owncr hereby agrces to hold and sove harmless the Gity of <br />Evcrett from any and all daims lor domages Ihaf may arisc becouse of �he <br />installation and mainlenance of ihc improvement herero opplicd for and <br />(uriher ac�rees to remove same upon notice from ihe Cily and to replace all <br />public properly damaged Ihereby. <br />DRIVEWAY SECTION <br />NO SCA�E <br />r 2 , ----.� <br />� +I" LIP <br />� 30�.{. .T•30 •1 <br />V�Y`� G� �:J � J"-�� �C,� � f�/_—�-L(C'/%"i' / N. M <br />Inspxlor's Signolure � / .' <br />L��f�Gn a% /" � n. S <br />� � � � <br />� • <br />Date <br />(all Engmeenn� Be�.�. . , .__ <br />24 Nours be}pre <br />r�nsUuclion iS� d. <br />� <br />� <br />' [dOT� <br />CHECK WITH WATER <br />DEPT. FOR WATCk � iNE <br />LOCnllnn,,c, ii`rtr _ '-�.1'if,l�l����. <br />�-T : <br />_:.IU�eY'� — <br />_—.- —� <br />_ —�-F �PnV' T <br />i <br />',ariance Required <br />Yes.. ..__ .... <br />No._. _.._.. ....... <br />__�- ���/`.J �n_.._^,' �-/ <br />�- <br />:� % � '/ <br />..,. Signalure o( Appliconl / <br />... . � ��-� � , : ° " , -�' ri%- <br />, ff,�'S'_ Addreus�. <= S <br />- - </ . </,f 5 � <br />ielephone Number <br />� - / �: _ �' � � <br />Dale � � i �� � nv <br />E �� . h " e� �/ �� <br />_ ,f <br />. " .� . Fee � � <br />1—:: I _ -; v' <br />DEPT. APPROVAIS <br />Engineers � r'��'"�� .. <br />Waler�`.��----/ -' <br />� Strcet ,�f_ • . �i,�.,_..ti�. � <br />Communicalions � � - <br />Tmllic � �"'� �'��- -';."-"'.'�� � <br />Plannino^'r �� •.�� � .CR...' '�y�. <br />r ��iJVIDE FOR ---- — � <br />FROPER DRAINAGE <br />� � <br />.,r-�,-.,r -- - �--� <br />�,�y ...�o.w. <br />