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EVERETT, WASH. Approved By <br />The Undersigned ie I IL in In Qa Date Approved <br />Hereby applies for permission to A /D j))Al <br />cT <br />At the following location— PL A--F_ <br />L,/AVF_r?LV PLACE PLAT <br />ul <br />SKETCH > <br />IW...L s.. In. d....el I R <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims for damages that may arise because of the <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove some upon notice from the City and to replace all •; r� . 1 <br />public property damaged thereby. , <br />DRIV EWAY 5[Criom <br />.DRIVEWAY SECTION (NU SCALC) <br />Inspectors Signature <br />Date <br />Remarks <br />Call Engineering Dept. 259 8803 <br />24 Hours before <br />'eonstruNion is slarted. <br />\ 1 Lc ------------------ <br />NOTE <br />CIIF.CI< WITH WATER <br />DEPT. FOR WATER LINE <br />LOCATIO14S BEFORE EXCAVATA <br />Variance Required <br />Yes <br />No <br />A <br />Signature of Applicant L <br />Address 5 i <br />eC 1 I — 9 7 6 <br />Telephone Number <br />Date <br />Fee <br />DEPT. APPROVALS <br />Engineers <br />Water <br />Streetr--- <br />Communicalions `•�' <br />Traffic <br />Planning <br />IOR <br />+, URAINAOT <br />i <br />,I <br />