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EVERETT, WASH. Appro�ed ey <br />il!<<„=,;��rJ ,� /�/%� <br />The Undersigned <br />'�.J. II U_f 1�.I1, `.I. i!-='f:—o ��=_ Date Approved <br />Hereby applies for permission to � �� `-�'T° �-- A I s � ' ' � � _ `� � -�'- � ' -"� � ' �` � --- <br />At Ihe following bcafion � `-�' � � � `� ~^ � � �T � ,1 � <br />SKETCH <br />(Work to be donel <br />�: <br />i=-t�isri�uG Conic. cv:ea <br />-aiv�� � u r; -,v_ <br />� vr-tti� i�- <br />Thc undersigned owncn c�reby agrces to hold and save harmless Ihc City of <br />Everett from any and oll cloims lor damages ihat may arise because of Ihe <br />installation and mainlenancc of Ihe improvemenl herelo applied for and <br />furlhcr agrecs b removc same upon nolice (rom Ihe City and to reploce all <br />public properly domaged ihere6y. <br />DRIVEWAY SECTION <br />NO SCALE� <br />�--- iS " <br />+I" LIP � <br />�30'� _�_ 30" <br />-- - ----- --- - ; <br />---- <br />��-�-�-; -_,_" _.. . <br />I I y_ 7 �� <br />, Z ,' <br />( � �L,L- �= C � � � ' tj %' .�1r �, �l /`� i�L D I� <br />; <br />Inspedor's Signalure Sa )� �=(�,(� (� (�� iJ <br />�� 7 �- � � ��.z� <br />�:� t Ci�rc.ri�iJ '���= <br />nare <br />Z4 }�DUtS IJEIUIE <br />� ,i.i ...... . .::. .. <br />;E <br />� r,tc wITH WJiiF7 <br />_ ;.�'T. FCR WATER LIN�E <br />l:";CAiIrN4 BEsORF EXC�4VAT�i;�.` <br />1 <br />; <br />Voriancc Required <br />Yes ... .. _. _ .. _.... <br />No_. .._..... ___. <br />TA Y� n �°. <br />�� <br />� ! , <br />� � , <br />��t �' C /.� ro, IrI • . �.- <br />Signalurc af Applicanl ! � <br />�; <br />�h�2 < �:C«�y,e,a�, _ %'?.�'•��s_,_^... <br />Address <br />='!, Sf'_ I Sr' l�t � <br />ielephone Number <br />: <br />(�—.� 'o �7��� <br />ooie <br />,'z' �-''�j i 1> <br />= i. . <br />DEPT._APPROVAIS <br />I% % <br />l t : i�L . � ;%, �, <br />Engincers — <br />Walcr "�- .. <br />� <br />Strcef <br />Communicalions <br />Tmf(ic %�� �'' <br />Planning - ,..' • <br />�. n <br />rROrEit U+�iuNAG� <br />% `1 <br />�.�o .a;p,. <br />�: <br />