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TT, WASH. .Approved By. <br />� ^'1 /ii1F A � � <br />� R � � � --9'�-^- � � . Dafe Approved <br />l The Undersigned i\� � '- '- `��' i '� � �'% �- - - <br />' },' <br />� �o�,�������' {�. 2-� �,�� �� �, <��' ; . ,.. �-,.!,�� ;�, '-f <br />Hereby applies for pernission fo � <br />/ . � -^ �; f' c. <br />At the following localion � ( � ' � � � �i �� ' <br />SKETCH <br />(Work to be donel <br />��o SGAL� <br />� <br />n� <br />� <br />r �' <br />1-�lE:.�_) �,�)(-',Qr.C1hU5•..--.�.. <br />n r, �-;, <br />Q�Gr� /� �c{�';,.1 � I I;; f �� <br />_, ., <br />(�; J <br />tT ^ � <br />�� -�AI�lL15Cl�,;;N4, `�'�ry-. <br />� ,�;: j , >%y �i�;��:� t �'„ <br />,�.:. �.:: <br />J� �; ;� <br />— — �aEw o i-rc.�-� � ll � <br />l�l,$TliLl.. 1.���CiJGt/F'-='i <br />-�-rH �U�. <br />The undcrsigned ownen c�reby agreas b hold and save harmless ihe City of <br />Evcrelt (wm any and all daims for damages that may arise becau:e of the <br />inslallation and maiMenance ol the improvemenl hereto applied for and <br />further agrees to remo•�e same upon notice from the City and to replace all <br />public property damagec! thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />r----- 2�'�:'-�-----{ <br />I" LIP <br />30" —� �3p,� <br />r�,�%�r 8- 9- ?y ,fP� �r�u <br />Inspecfor's Signalure <br />�''r' �i�',cC/''��/� O /.G'% f <br />Dafe <br />C:tll L,..,`,r.ecrir; ',',; .` .' � ; t <br />��!.; HOIIiS LCfOf� <br />�:; nsituctl�^-�s�starled. <br />� <br />' �1oTE <br />CHECK WITH Vd.0.TER <br />Ci=FT. FOR VJl1TER LtNE <br />i n�ATIOfJS BFFORE [Y.CAVATION <br />- ;�o• <br />-- - — � L,: GC <br />- � - - -- <br />J o L ;> � <br />- - -� - - <br />Variance Required <br />Ye:... _ _ . _. _. .. . . . _.. <br />No.___ .__.. .._... <br />,, i <br />--- �r—y r-�' <br />"/... ..C-' -..l�:�... <br />Signafure of Applicant <br />. . , � _ .. �. Yv'. <br />Addic'ss <br />iefephone Number <br />r,._ ..,, <br />�- <br />�r <br />�'� Dafe �-� <br />�� <br />� $'/ i � , 5�,� 1� ?� �q5 <br />��rG� (.+-�/!�G Fee 3 �y��1. <br />lo —/U — 7l� <br />Engineer"s �_ <br />Watcr "� <br />Street : � <br />_ Planning " �.�:. <br />_ .._. �i,. _. .. <br />�� f'?�(��,i'r ..:'_ i-i ��t <br />pRQP[R DRAIivAuE <br />� <br />__ ,�� <br />'. _ _::-_:-_•_ _' <br />� /2 -. <br />��_o.,�,. <br />