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EVERETT, WASH. RPProved By <br />/%�%� , ,/_ �.�,:= .�/ .�7-3 <br />The Undersigned //�/ � /�•� �� ��f ���� _ oaie Approved <br />Hereby applies for permission to IN 5TA �L r=� C11�'.�1 '� ic� �. i�+. '� � C- �� ��J � � �'�� � �.�' _ <br />BY G�.�l;�.�� UI�1Dc.� E;c;S"1-1NG �tD�'v�l� ���. <br />At the following lomtion � 2' � �� ��� ~�� �� JT- <br />SKETCH <br />IWork to be donel <br />EXISTuvG --- <br />S 1 DE`� ti At� C<. <br />N(7 _'�Cl1(_f= <br />The undersigned owner hereby agrecs �o hold and save harmless the City of <br />EvercN �rom any and all claims for damages that may arise because of the <br />installotion and maintenance of Ihe impravemenl hereto applied }or and <br />further ogrees ro remove �..me upon notice from Ihe City and lo replace all <br />public properly domoged therebv. <br />5 %%/L �/�.�C;'/G� � b ��1-J � <br />Dule <br />:�:,,-; c <br />��.i Ic�l< WITH 1'JA FR <br />, '1. �i�R';JAT�INE <br />� i: - i; r' ; P`� =CAVATION <br />—Ei�I:JTlf�1(J `;l.Il-'_'�'� <br />�i ' <br />C;,II Enaineeri�G �. : hy 3813 <br />24 HOli�ti �' �i'�.. <br />construr.Gon is �t�����• <br />Ct.1 <br />� <br />O <br />� <br />� <br />Q <br />U <br />>- <br />ul <br />, '.t� t <br />�I� �;A5i1.1 <br />Variance Required <br />Yes .__._._ . __.... <br />Na__. ._..._. . . _._ . <br />_ � � <br />�� /� �-�� <br />Signofure ol Appliconf <br />/�z14�rx �>,� �' <br />f/[/C� Addrecs (.('Ai/� <br />� —: 4 —�-1�n G' <br />Telephone Number <br />�(� `%j <br />Dafe <br />�^ <br />S j c L� f�" <br />Fee <br />� ,.. <br />'�'� �� �� � ��I <br />2 <br />Engineert�_ <br />Waler <br />Slreet � <br />i .�,': ,- r`:dl <br />� Fi�UPER DRAINAGE <br />� <br />'� _ <br />..�_.,�Q--"--` - . — <br />a <br />I� <br />