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EVERETT, WASH. <br />Approved By <br />The Undersigned !� <br />KC-v' AI CR/1 U)r7Q A L> Date Approved <br />Hereby applies for permission to CON TR (Z C T C 2S /L s /2Fq/ti ` 7' yE [,JA Y <br />At the following 13cation / �R d / 14 <br />SKETCH <br />(Work to be done) <br />1(3D7 <br />FIRE HYD <br />No <br />S,kLt! <br />7 -r" <br />- <br />P9AI"/ <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 properly damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE; <br />I" LIP <br />30" <br />�o cK,o / e <br />Inspector's <br />Date <br />PROVIDE FOR <br />PROPER DRAINAGE <br />-7 3 <br />Call EnRineetinp,, Dept. 259 M43 <br />24 Hours before <br />construclim; is started. <br />Variance Required <br />Yes <br />No <br />Signature of Appli� nfnfljjf <br />i• �1 <br />��S <br />Address <br />Telephone Number <br />� Sid <br />Date <br />:1.2%� ?-)7-73 <br />(Lecet�nrXl29/4B <br />N <br />ecud <br />f- <br />' NOTE f- ew'eer <br />Cf!ECK WITH WATER ( <br />i cnrt Y;ATFR LINE r C t <br />' f;'" L'-F"RE EXCAVATION <br />3 <br />IL i��YIC ,ill' r'.Y/✓� <br />Arta ` <br />