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EVERETT, WAS . - aPN�o��d ay <br />� /�n/ i� i, y lS /97-�} <br />The Undersiyned � � �� 1 ��� � � \ � � � � �'� � Dale Approved <br />.� � 'j � r;�.'/.�'� ?—" � <br />r J� '�' 1 t/�'t ) r.��-� <br />Hereby applies for permission fo -�'-� �'�ST1�-' �' ��"� ""` <br />At the following location �`�' 2� -- � S� 4 �-�� <br />SKETCH <br />IWork to be donel <br />/ --___ ..__._. <br />( �— �--- <br />II <br />t <br />I <br />i i <br />�- <br />�1,-,Y_� ; =,•./r <br />I � N £ •-v <br />i � I <br />� �__ <br />td� ��JE�u <br />�- 5 � <br />� / <br />g�oG• <br />ST F A', <br />-��5� �NE�J G.F3. <br />r A <br />I <br />� � '?A2�.L.Irt�, <br />� � �'� At2C�A. <br />1' � Rer�c.va �x�s� , p�tv <br />�� <br />I � _�. <br />i <br />, <br />The undcrsigned owner hereby agrecs to hold and save harmless Ihe Cify o` <br />Everetl (rom any and all claims for damagez Ihal may arise because of Ihe <br />inslallation and maintenonce of the improvemenf hereto applied for and <br />further agrees to remove same upon nolice from Ihe City and to re.place all <br />public properly damaged fhere6y. <br />DRIVEiNAY SECTION <br />NO SCALE <br />�— � � <br />� +I" LIP <br />30" —� 30,� <br />' .�/�r '%)I � � :. . . . �� '� YI .'i � " � <br />Inspecfor't Signafure <br />�/T/� �fiE.�.�i�/J �'Z�//7�' <br />Dnfe <br />'_ --�� ,��-�.'.� <br />���o �cr.�_� <br />/-� l-LE �/ <br />Variance Required <br />Yes._......__.._._ _.... <br />No...... _. ._ _ _ _...._.. <br />� � � _,�%t <br />'�_ ,�'�-x�ctc�'� �r_��`_ <br />/ / ` <br />�;: '.`!li lli ' '.�,yX2�cJ <br />�- Signalure of Applicanl <br />_ �`!,"' J C:�!� L,�X c7,�.� /c� _. <br />� <br />_. � — � Address <br />�j(1ii>� (//v/1�.�!a JGLC_ �i1/%f_'/�L�'�c1"% %(� i:. ='%✓S%.�l/G,— <br />s <br />,+�If En^incann{; Cept �5'd 3c�)' <br />24 Hours b I`ure <br />COf1SlfUCtI0I1 i�E'= <br />'f�OVIDE FOR <br />iP�QPER DRAINAGE <br />I <br />%,� ;�- ��i:3,5� <br />Telephcnr Number <br />�I - ' % I �f �/� <br />r: �_ XcC(l �' i� � <br />' Dafe� ) /i`% (/-� <br />(,iu �� <br />b ( �j �- <br />�-- �-�/-is%�;"/ <br />0 <br />`Y�.; <br />`7 ' (�� Fee <br />K�c.� U �`� fl ` . , -. <br />I�-Z�-�? <br />WO�Cf � <br />Street -'���� � � <br />Communicalion:=tC <br />Tmffic � � � <br />Planning '" <br />//�� j : <br />' MOTE 7 <br />CHFCK WI?H WRf � <br />ncpT, FpR V:AT=f � - <br />.i .��. , <br />r <br />�, <br />uco •.ap. <br />