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CITY �NG!NEERS r � � <br />�: �4 G!'�t- <br />EVERETT, WASH. -� Approved ey <br />,� <br />�fr3/�U/�F�y � %S�%// <br />The Undersigned - " -� � ' i Dote Approved <br />Nereby applies far permission to �' " � <br />At the following locafion � ! �� ; ` . ' ' � `= (�%. r l „ , �- � : r � �- r-� �- - '� �. � � � r� ', <br />SKETCH <br />(Work to be donel <br />V <br />. <br />---- --- --� - - - r.� <br />� -, - - - �_ _—�= <br />�� � � <br />' :',�� <br />.,. <br />-_ ';�,— --- __ _ <br />� <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims for damages thal may arise because of Ihe <br />installation and maintenance o( the imptovement nereto applied for and <br />further ogrees to remove same upon nolice from the Cily and to reploce all <br />public properly damaged thereby. <br />9RIVE�JAY:. SiCT10N.::::" <br />� •� ��� --- <br />--i -;.� -_.._.-•-- —� <br />�; r � <br />Inspec�oi s Signolure <br />> iT:E �; Nc`.c'e'_J z�9 'J/ <br />Dafe <br />Remarks <br />Call Engineering Dept. 259-8503 <br />24 Hours he(ore <br />construction is started. <br />—i r <br />� I <br />.- n,p riY RFSE �.v E CEriT�r � <br />� <br />- — -- - - -- <br />- - — -- <br />_ _—�_ - ---------- „ , - - <br />� ., <br />r �111Ff-: /, 'F Fx i <br />�� :� <br />ii; ' <br />�••�•J.•�--Uk;t'=�i-:,'� SECYI"v <br />( Cvn scA�':) <br />�•'�\., t .r..�:...� � -�-�_3]_--�IIC� <br />i- -� --- --� <br />I PROVID[ FOR <br />PFOPER DRAINAGE <br />Variance Required <br />Yes. __ _ ..... ............. <br />No...___ .__............ <br />�,C`,.ScNiY/A.Cz C' ' <br />`��Q L , r�:�T ��, <br />Sl�nafwe o! Applicanf� <br />// :�� f-�.4-C � F/ �" �-�i ic:s(�✓. .S'C( <br />Address , <br />-TiqCOMA, (.l%.qsNi.✓C�-'o'�', <br />�-�� - �s� f <br />� Telephone Num6er <br />.�/�/7/ <br />, <br />Dale <br />5 1 a °� P..�.�1. <br />Fee <br />DEPT. APPROVALS/ <br />: % �'. l� l .G <br />Traffic C'r._L! ( 4.� (-F.k.>� ' z // <br />, <br />Planning <br />' NOiE <br />..•��.i_�.:�,i l';I11; 1':A�il', <br />,.=F'r. �012 �:'F�iEf; LIiJE <br />._:iP,1I�NS BEFORE EXCAVATION <br />6 <br />