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EVERETT, WASH. — Approved By <br /> Dole Approved <br /> The Undersigned—J\l 1T <br /> �[,i1 sGYQ CA �ib 17 �u k tJ ��•s� <br /> t <br /> Hereby applies for permission to—C-0N ��R , -- - 'd`5 �•`� {u C �f�.l U E�1� �A sP1-l\ <br /> AND LA�✓G�S'G.y�r GfN C'ir Oe-42-4Z <br /> At the following location— <br /> SKETCH <br /> ocation SKETCH <br /> (Work to be done) <br /> I <br /> WRR>:F+oUSt✓ I OFF IC N° <br /> I +�; ScrTtt <br /> I? F.P 1J 0 Pt rJ G I <br /> I <br /> Ilk <br /> m' �ty ytp : . ' i !('� a '•�` t1r <br /> TY Pe"C' C.U0A b° IIr TYPY c cum <br /> eDCira OF PA 'r <br /> — — — — — — — - —gO�Tl-+ STQEtr <br /> The undersigned owner hereby agrees to hold and save harmless the City of Variance Required / <br /> Everett from any and all claims for damages that may arise because of the Yes ✓.. _. . .. <br /> installation and maintenance of the improvement hereto applied for and No <br /> further agrees to remove some upon notice from the City and to replace all <br /> public property damaged thereby. <br /> DRIVEWAY SECTION 4 <br /> NO SCALE. � ' <br /> �-S r - ' Signature of Applicant <br /> + I° LIP Address <br /> 30,1 30 <br /> Telephone Number <br /> Date <br /> Inspeclor s Signature $ ,v <br /> 7/it <br /> M Fee 1�l <br /> Dale <br /> DEPT. APPROVALS <br /> Remarks Engine s _ <br /> Water <br /> Street <br /> - _ Communication$ £ <br /> Traffic <br /> Plonnin - AO" <br /> NOTE PROVIDE <br /> Cell Engineering Dept. 2598803 cHectc WITH WnTErI PROPER U"AII"k� � <br /> 24 Hours before DEPT, FOR WATER LINE I <br /> construction A9 AtsM ed. LOCATIONS BEFORE EXCAVATION <br />