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EVERETT, WASH. <br />The Undersigned <br />� <br />� Approved By �� <br />�z— zis— %'Y <br />Date f �proved <br />�� ! <br />Hereby applies for permission to�'��`�-� ' �� A' � t � � '�'�' � 1-�' ��', •� '� �_� ��'—`�%�'•���-`d <br />At the following location � : 2 O ' ��'T � � ��' • �^ ���' <br />SKETCH <br />(Work to be donel <br />I1D <br />J�ILi <br />�..:i !> IJ�� . <br />— _ —. � t—[� GL:— --- J' �� " — <br />The undersigned owner hereby agrees lo hold and save harmless the City of <br />Everett from any and all cloims for damages that may arise because of the <br />insfallation and maintenance of the improvement hereto applied for and <br />furfher agrees lo remove smne upon notice {rom the City end to replace all <br />public property dcmaged thereby. <br />DRIVEWCIY SECTION <br />NO SCALE <br />�---- 2� � _-� <br />I" LIP <br />� 3p' I_ `T�30 ' 1 <br />I' <br />-/ 9- 7 <br />Signafure <br />S,fr �� a�,G.`c% ��:J C � �`% — <br />Dafe <br />G+II EnBineering Dept. 2:,9b'��� <br />24 Hours 6efpr� <br />cnnstruction )�' ��� <br />� <br />PRGVIDE f OR <br />PRfJPER DRRINAGE <br />��� <br />C„lur�.i- Tu i... ��.:,�'j�t�e� <br />.�, ; ,c-._ �" � �'� � r�: ;_ s�.:' i_j <br />_r_ ._ .._� ......_-. <br />�l� / <br />Vc•iunce Required <br />Yes... _ _ _. _... _.. _ _. _.. <br />No..._ _..._......_...._.. <br />��rr �°yssE� <br />,� ' <br />9 I �'1 � ��/' �� <br />�=:.L. i �C}� l <br />� Signalure ol Appliconf <br />�s v� i�� �' s r�' L i� S r U! ��� <br />Address <br />_� J `/ J �,( � _� <br />ie(ephone Number <br />< / / G% <br />Dafe <br />5 � �'�-_�,�'y� <br />;7 � / �� 2/?i�'''/ <br />/� t. '/��..���, Fee <br />�1<< � <br />_ •� • <br />�� r7- % <br />DEPT. APPROVALS <br />— /•'///� � _ �/SG1 �4 <br />Engineers _ <br />Water�� - � . �"' <br />— � Slreet 1K -�.5 ,.,..1, � .�... , <br />� _. � 1. <br />Communicalions� ".' . ` .= ,- ,,. <br />Troffic 4-,�'�'�s.�- K1�5%�'T, 4- _ <br />� L[i Tl • �i � <br />_ Planning , ":. , ' :• <br />' rc�rc <br />i '•.=Cf< WITH 4VATER <br />���-PT. fOR VJA7�ER L;�'i <br />L�tAT!nid; RFFOFF rxr.�P.VnTInP� <br />/ ` <br />�1�.,,_ �,�o.i. <br />