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EVER`TT, WASH. Approved By <br />l%iil / ��� ;i7�; <br />� c4 J �. . - i , <br />� !/�� ��+�/� "� j I /�. �j., l:s� �, . Dale Approved <br />The Undersigned�� � ""� <br />/ L'. j 7� i 1' '' w�. .. f� '.. w .�lr"'�;=f%�� � I/%:i <br />Hereby applies for permission to ��b� � � « '��'- --- ' --'-- � <br />�`� /.� � LrJ l D� ��t- 5 t� ��i�� c:� '"� !� A�` P 1/ F tf f�'t �-'� <br />3� 3 O �� 4'-�� �-�' S. l�(/. <br />At the following location— . <br />SKETCH � I <br />(Work to be donel � � <br />11 <br />� <br />,r✓'! �. � / % `j <br />\ i= y -� ;-�.- <br />cnC,e o; ti'���,_ <br />.74Yr+ ST, j� �✓J- v�— -- <br />— � — — — �-- � L-X1`•T <br />- — — — -- - --- - - <br />, . , � ;� ,`GVL'JL4:'� <br />� __�y��, . -_ �/ -" -�--����_- <br />_ _ _ __ � ��-,-, <br />DGE OF PP'1`T <br />/1/p�./ l ; i �j <br />NE�» <br />�Z,�G Uk�t�? T <br />NEW 12�� C <br />The undersi�ned owner hereby agrees to hold and save harmlets Ihe City of <br />Everelt from any and all claims for damages thal moy arise because of the <br />installation and maintenance of the improvement herelo applied (or and <br />iurther aGrees fo remove zame upon nolice from the Cify and to repla:c a�l <br />public properly damaged thereby. <br />DRIVE:VAY SECTION <br />NO SCALE r <br />�.------ Z 3 ' �---� <br />I" LIP � <br />I 30' � ._.}.30� � <br />� <br />/C'n�� //�.s�t� '�/�2?��/�_ <br />Inspector's Signafure <br />si%� cM��i«u g- ��-'%3 <br />Dafe <br />Cail Engineering Dept 259 t�By3 <br />24 Hours be;�re <br />construct�on i� �erie�. <br />' t�07E <br />CHcCK Y�ITN V/ATER <br />l��:-?T. fCR `.:'4iER t_IIVC <br />LOC.4ifONS 3EFORE EXCNVAiION <br />''; <br />', i_ � _ <br />:,, - ., <br />�, � <br />Nn <br />�• • <br />_ .,, : � <br />Variance Required <br />Yes........__..__ _...__. <br />No. _....... __. _ _. . _.... <br />�,� � � ��� , . � l.. � <br />$ignalure ol Applicanl <br />,� I a�., •>;d r��•� :'��_l <br />Address <br />..,, : <br />,- ; _ . �,, , <br />Telephone Number <br />a � <br />f��c U �"��1�, <br />�'�13- ?3 <br />Dafe jj� r Q <br />p � �j- i�-7�� <br />'L' <br />Fee <br />F�0'i!D� FcR-- -- <br />F'ROi'Ei� Gr�AtNAGt <br />�� �L --- ---� -. �Ko..s. <br />T <br />