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EVERETT, WASH. Approved By <br />/?_ /y''/y% <br />The Undersigned .T F�'eD 6ON51 /�l Date A roved <br />Hereby applies for permission to /'zt6—,reZjn7_ A <br />At the following location' t1� �/ n — 7z S T <br />lAin )ACP1 v /'L,4r PG.4 T <br />SKETCH <br />(Work to be done) <br />The undersigned owner hereby agrees to hold and save hc•mless the City of <br />Eve•ett 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 t� replace all <br />public property damaged thereby. <br />Inspector's Signature <br />Dole <br />Call Engineering Dept. 255 8803 <br />24 Hours before <br />construction Is started. <br />M <br />3 5 9,.j <br />Sic i ION <br />.r <br />' N01 F: <br />I,', F . F;rR VIAILR LCIC <br />LOCA'i IONS 13FFORE EXCAVATION <br />Variance Required <br />Yes... _...._... __. <br />No <br />Signature of Applicant <br />Address <br />Telephone Number <br />Date <br />$ Sp0 ai . <br />� � f <br />Fee <br />DEPT. APPROVALS <br />Engineers <br />Water <br />Streef — <br />Communications r <br />Traffic. mV <br />Planning-�� <br />PROVIDE FOR <br />PROPER DRAINAGE <br />7-0 BI-' <br />y lvi A<R <br />SFF760 <br />r c� <br />