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the Undersigned =N P'.'.' I— 10�� �t ��hJ Dare Approved <br />Hereby applies for permission to I'JSTAI-t- A t 7I 4SF A-7— RI'J(E-'f-)a45 <br />.t the following location 16 Z-7 5Tj Y, > I 7— <br />SKETCH <br />(Work to be done) <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims for dcmages that may arise because of the <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove same upon notice from the City and to replace all <br />public properly damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />i---------- 30"J <br />Inspeclor's Signature <br />- S/Tf- 7 i�-z2 <br />Date <br />Remarks <br />Call Engineering Oept. 259-8803 <br />24 Hours before <br />constrnction�is stied, <br />ALLIF `f <br />STP.-rr-- :5 T. <br />F'rwu .,JL- <br />PROPER DRAINAGE <br />x <br />V) <br />Variance Required <br />Yes. _._._..____....... <br />11No.....__.. <br />R E4'n H 7 Try <br />Dote nR/10 <br />p J>U /_ /e-&-7� <br />Fee <br />9 -,,4P- 7Z- <br />Water ---;u <br />CommComn unicgilipris <br />Traffic 5:4 ' ` - <br />Planning 9- L7-71-- <br />' NOT <br />CHECK WITH WATER <br />[DEFT. FOR WATER LINE <br />LOCATIONS BEFORE. EXCAVATION! <br />rY TKO M. <br />