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CITY ENGINEERS � -- <br /> �-�-' <br /> EVERETT, WASH. _ Approved By <br /> ' i <br /> ' �' �' L+ � � - <br /> _ y .. _ ;'r,� � <br /> The Undersic�ned �'{�\) I 1� L� � I ' /=Y��1�t � .1 , ' � ;,1 /Dore Appro��d <br /> Hereby applies {or permission to � �IJ C Z t'L . �" '' 3 � t-I �N 1'?f ` ��=-� 'J=`� '-�l, ' ' — <br /> At the following locafion ' '` ,� �I r��- -__ rr � J !�-� <br /> SKETCH <br /> IWork to be donel - - -- - --__ . - - _ _ _ . _�__�-____- <br /> 1 -----_-- <br /> ' __-- <br /> ' �� �DGL- � �AU'i <br /> ,�• - � — . <br /> l�' <br /> ---- •-- _ '�-�— _ _ _ _ _ —_ <br /> — 'a _ —_ _ <br /> _ _ '_ <br /> F`ti1sT GU��I% � <br /> _____. . __. _. _______. ___ _. . <br /> - -- - � �__-----__�_ <br /> � / .. <br /> ; . <br /> � . <br /> � <br /> J' ,� . <br /> i � J j;. <br /> „� 3 so r --�' . <br /> � <br /> _:; f' - �\ % � � <br /> _.,\ / � / <br /> �-o� Q- <br /> , �� / <br /> /I�,�, <br /> '/ i <br /> � �-- --- — _— � � <br /> � <br /> / <br /> , The undersinned owner hereby agrees to hold and savc harmless thc Cily o( / Varinnce Required <br /> EvereR Irom any and all daims for damages that may arise becausc of �hc Yes.__. .... <br /> ..._. .__... <br /> inslallution and maintenance of �he improvemenl hereto applicd lor and No.__._.._.._. ... <br /> (urther agrees to remove same upon nolice (rom Ihe City and ro reploce all <br /> public properly damaged Ihereby. <br /> DRIVEWAY SECTION t� �� � � �^ <br /> NO SCALE ��----- �(LLc� c <br /> Signalure o( Applicanl� <br /> �� �j � � <br /> �j 1�� D � �c7c � 0�,'Z c�.l��� xC� �,l1VV <br /> ��� ��p ___� f Address <br /> I " 30" � �( <br /> r 30'T' `T"—"1 �-�� T — �'r' 1 1 <br /> : ; • ielephone Number <br /> '.i t . <br /> �� zz - � 3 <br /> Dafe '1 .. <br /> /�i , �� ' - - <br /> � � � '� �' / 7- , <br /> Inspedois Signolure � //O � �}�� �-'_��/�� <br /> 7e',i/// <br /> , %' �! �' �;✓ i tf ('�L Fee <br /> t <br /> - � � �/.-- .� - � � , <br /> Date �- �.-_ 2 3� 73 <br /> DEPT. APPROVALS <br /> / � <br /> Remarks Enginccrs �'7�� '� ,��'`<<�L- <br /> Water ��' .t,. .11 , �C��..e <br /> /� o. <br /> -_ $ffecl rh_�S�f^ I��'�i.�... �•-, 4�. ; <br /> v I . <br /> Communiwlions 'r� - ��- � - <br /> ira((ic /`-`•�' ��"J-��" X%24— <br /> Planning.. � /�� �_i/`�i;i� i- c�_-� j`�� <br /> �i -:��Crif .o!,�i.c..� �:.. � <br /> ' NOTE � '�� ' r , <br /> Call Engineerin� Dept. 259-8803 fHE('IrWITHIWATERW[ <br /> � P� ��: Ot2i11 i�ti.(;i <br /> 24 ��CIIfS b2i0fC _i�)C I '�( ��.�.-.j. rY•.'It`!AI{U�d � . <br /> construciipn� 3<<Pd _ <br /> 1� �- <br /> /KO� <br />