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EVERETT, WASH. Approved By <br />.2 A;;'T,2. <br />The Undersigned r-� V-7r� P t- ` L-L' Date Approved <br />Hereby applies for permission to }c! .'JE_(.r_ !PA4a lj AJG` , "} t , i 4 J,) /1% <br />At the following location <br />SKETCH <br />(Work to be done) <br />PROV/DE DRA/n�.y6� Ta <br />-- EXIST/NG /N4.E7— <br />T> L -1 ': !. F'j <br />- -- ] 3 TzD <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 improveinent hereto applied for and <br />further agrees to remove some upon notice from the City and to replace all <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />j I" LIP <br />30" <br />Ext'�RAlJG,�,ti'yTrcE SF:ti�� .��-y-72 <br />Inspector's Signature �-- <br />AlU a 62 Scv PI <br />00 F X <br />Date C <br />Remarks <br />Call Engineering Dept. 259.8803 <br />24 Hours before <br />ronslrection is stafled, <br />PiWV:3E FOR <br />PROPER DRAINAGE <br />+'ArK.�rJG PIlEA <br />ST <br />Variance Required <br />Yes <br />No <br />Signature of Applicant <br />Address <br />Telophone Number 1 <br />/ 17.4 <br />Dale <br />4 No FE:C— <br />�F�p <br />Itch b.-t b1- EG q - w --7 'A— <br />DEPT. APPROVAL <br />Engineers—' <br />PwWater. -?a-72- <br />m Street;. <br />Communicat gns�'ffi� <br />Traffic <br />Planning •— - 1-c '�- <br />re N07E <br />r•ItEcl< WITH WATER <br />J:: i' i I"b l TER LINE <br />LUCAr UNS BEFOHLrtBOW AT11iN <br />�./• We 4W <br />