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EVERETT, WASH. <br />Approved By <br />/107.9' <br />The Undersigned <br />R .� •�Al• 1TF. � Date <br />Hereby applies for permission <br />31 <br />At the following location) e-->, 0-,�> J --7' ' ,77 'S' Ee <br />SKETCH <br />(Work to be done) <br />ND Sr -Al -I <br />FCC/sTi'MS INLET_ _ <br />UR.AI"I,&C To 31• <br />DIRM76D -INTO I/VCET <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 />installotion and maintenance of the improvement 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 />+I" LIP <br />30" 30" <br />Inspector's Signature <br />Jafr <br />Remarks <br />Gall Engineering Dept. 259.8* <br />24 Hours before <br />tonstruction Is started. <br />r,%W/ <br />' NOTE <br />CHECK WITH WATER <br />DEPT. FOR WATER LINE <br />LOCATIONS BEFORE EXCAYATION <br />Pa000ge(�, D(zl'— i,,A4 <br />f DGC I-Ir PAW T <br />ST. &,,, OrZ5 <br />is-7 uJ/�-rC(c VP L.IJf;� <br />Varian-e Required <br />Yes_._. _...... ..... <br />No.. .... ... ..—... <br />/X - '�,v 7-`> <br />Signature of Applicoy� <br />/moo Sc - I LA_ ST Sjr, <br />Address <br />Telephone Number <br />a°a'• �-�� 73 <br />/J A 111ke Fee <br />-7 73 <br />X <br />I-ROV L ;. Llr; -- — <br />PROI=ER DRAINAGE I <br />I <br />AK. S. <br />7-7$ <br />