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EVERETT, WASH. <br />-- — Approved By <br />The Undersigned f G /J n f./ Date Approved <br />Hereby applies for permission to?f2- /ac f D S' , U C.J f\ 4 <br />At the (rllowing location —I -7'5 Q — 7,4TN 5T <br />SKETCH <br />(Work to be done) <br />zo' <br />GosssTR - I i t—I P Yo <br />s n'bP pF2-AI0HGt F29UM1 <br />---- Got rrr; DeDw N pA.l vErwAi <br />/73D <br />jc1 <br />IVq <br />7g <br />ST <br />EX. CONCPzeTE— <br />DRIVEWAY PADS <br />The undersignec' 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 />,foliation 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 />r----- 25 ' --� <br />I � TNLIP <br />�• ►T• 30" <br />30' <br />I c -Up-- 7 <br />Inspectors Signature <br />s-lrr ciiF-g<f_ p q-.Zss-73 <br />Dale <br />Remarks <br />Call Engineering Debt. 259.88#3 <br />24 Hours before <br />construct' started. <br />NOTE <br />CHECK VVITH WATER <br />Dfrr. FOR WAFCR LINE <br />I C"9?li„!$ RUORE EXCAVATION <br />I)c <br />C G A I —I' <br />Variance Required <br />Yes <br />No <br />Signalula of Appl' ant <br />z n - 7 C/ Im S. � . <br />2 Address <br />G <br />7i S J ?i/ gO <br />Telephone Number <br />Date <br />,exLr,. Fee <br />7-i&'= -73 <br />Engineers <br />Water <br />I' Street_j <br />T <br />PROVIDC FOR <br />PROPER ORABAGL <br />7/7-5/7-3 <br />•Kam <br />