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EVERETT, WASH. / Approved By <br />r— _11' /- 73 <br />The Undersigned <br />F� ST�IC... 1:2E Sb% --7- Dote Approved <br />Hereby applies for permission to 10 1 � c f I� I % . T� !y e vi A <br />At the following location <br />SKETCH <br />(Work to be done) <br />1.l O <br />SCARF— ) <br />FEXIST(NG <br />CONCR- <br />51—A.M <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 <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />— Js' <br />+I" LIP <br />30 • #__ � 1-3— <br />Inspedor's Signature <br />5/ T,E CNECk ED /D — =26 — 73 <br />Date <br />Call Engineering Deol t F 11 <br />24 Hours bt we <br />construction j'"aded. <br />�( <br />EDGE OF DAVIT <br />Variance Required <br />Yes <br />No <br />_ Signature of Applicant <br />j7L- <br />Address <br />Telephone Number <br />z5---73 <br />Date <br />/'4/D / , <br />Fee <br />/a-z5-93 <br />Water <br />Street <br />Traffic <br />Planning - -- <br />PROVIDF. Fait <br />NOTE PROPER DRAINAGiL <br />r'! iFCK WITH WATER <br />PT. FOR WATER LINE <br />9FF'RE EXCAVATION <br />•KO-INJ� <br />