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�ITI' ENGINEER� � . <br />;`%dn!`'y �. .C� <br />EVERETT, WASH. Approved By � <br />.���'_ �y <br />The UnC�:rsigned '-� . . � �-t ��� •=�-> '"" � % C` �" /�.1 � �?=� •'. j Da�e Approvej _ <br />Hereby applies for permission to �� N 5��� S 2 S� �1 � i 7�:"' ',"' � �'•-T .�2�Y�Y��-. �r-`� <br />At the following location � �-� r-� `' _�=' ��LS.�_T <br />SKETCH <br />(Work to be donel <br />�(r'r� �--r � <br />The undersigned owner hereby agrees lo hold cnd sove harmless Ihe Cily of Variance Required <br />Everelt from nny and all daims for damages Ihot muy aiisc becausc of Ihe Ycs ... .. <br />installation and mainlenance of Ihe impwvemcnl hcreto opplicd for and No. .. . .._.. <br />furlher agrees lo remove same upon notice from the Cily and b replace ull � <br />public properly damoged Ihereby. <br />ORIVEWAY SECTION <br />NO SCALE <br />I-- a5' —�-i <br />� I�� LIP —� <br />I 30�+1. .1'3--'ll <br />i . • <br />. '. _ i' %/',;-G �. <br />Cc>>;. , . � ,�'-��� <": �_ . <br />Inspecfor's Signofure <br />� � <br />:, i- �' 1 -1 , a\ <br />Dale <br />Remorks <br />iall Fnrin�'�:rub' Den� .. , "��l <br />?v Hours b;io: <br />au�atrustiml, ` -tarted. <br />f <br />` �lOTE <br />i;li[CK WITH WATCR <br />DEPT. FOR WATER LINE <br />Ln�ATI(!�!S BEfQRF EXCAVATI�IM <br />.i.�`-, <br />.:-'-' �!.: <br />�',�i�_,( �- . -,N � . �� i .,:k� . ^.+ <br />. - - Signalu% o( Applicant?t' c�/.-�x.w <br />/.� a �. /:�,,,/�t�� n Hn-r <br />Address <br />sS3 - -: �r3 cJ <br />Telephone Number <br />.��.J )��?'� <br />Dale �7 <br />��'�y- ��� Z _ ?`� <br />$ / 2 ';' YL.r� <br />�— <br />T <br />t <br />feo <br />DEPT. APPROVA�S <br />Fngincc C)c� ,..r� `I"2' 74 <br />Waler � <br />Slrecl�� �`���- - <br />Communiml'lo,�n� ` � ' - - � ` <br />Troffic� /-'�� —, "-,. - � <�-.' .. -. �: <br />PlanninaT�- /l. ( _y 1"'~,-� ��tn• 3 -� L � ' ]� <br />PRO'..JE FOR <br />PRO{-ER �RAINAGE <br />..<<..a. <br />