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By <br />EVL..-TT, WASH. <br />1a - .3/ - 73 <br />The Undersigned <br />�t�S Dote Approved <br />-�`� K � � <br />r <br />Hereby applies for permission to �2T e • t P�rE �t �tl %� ' �J { <br />At the following location 73 <br />SKETCH <br />(Work to be done) <br />t)o <br />_ cAct• WALL <br />WAI-152 5E9\/ICR <br />The undersigned owner .iereby 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 <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />I LIP <br />L 30', 'L,t 30!I <br />r- <br />14) <br />Inspecfoi s <br />—5 /TE <br />Date <br />Remarks <br />CaB Engineering Dept. 2594* <br />24 Hours bet= <br />construction is. staftad. <br />M <br />' NC)TE <br />CH£CK WITH WATER <br />I'r 1.OR 'dJATER LINE <br />'i'' i'RF f YCAVATION <br />t=X 15T-I NG <br />GA2AC"IiE <br />2oa3 <br />W <br />20 <br />EX. 57'REe-r DRAIA/ <br />Variance Required <br />Yes_................... <br />No_................... <br />i <br />Signature of Applicant <br />Address <br />Telephone Number <br />7 Date <br />QA i O <br />QEC'D 6s� 1'r "'c' fee <br />fo-z-3--7-L <br />DEPT. APPROVALS <br />Enginems Q /0 N-7 3 <br />Water n <br />Street <br />Communications ` <br />Traffic — <br />Planning <br />PROVIDE FOR <br />PROPER DRAINAGE <br />