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EVERETT, WASH. <br />Approved By <br />I zt1A �/ .s:� 'Iza <br />The Undersigned Date Approved <br />Hereby applies for permission to_� <br />At the following location 8015 — � r, -"-=' t - zz, e /,j a <br />SKETCH <br />(Work to be done) <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims for damages !kat may arise because of the <br />installation and maintenance of the improvement i•erets applied for and <br />further agrees to remove some upon notice from the 0y and to replace all <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />i.— 3c, <br />` t —� <br />I" LIP <br />,Pm-f-r - 7? <br />Inspecfors signature <br />4!r� C'„iEchEO � 3d -73 <br />Dote <br />Remarks <br />Call Engineering Deft 7ri 9211 <br />24 Hours before <br />Construction Is started. <br />• NOTE <br />CHECK WITH WATER <br />MPT. FOR WATER LINE <br />Ll,r;A'TInNS RFrORE EYCAVATION <br />Variance Required <br />Yes..__.... ... _ ....... <br />No-- ........ ... -- ...... <br />Lr�—Z—lci <br />. <br />/�/ 2-- <br />signature of Applicant <br />Z.S/O S>eo✓e Ayr 61 , <br />y'C,.riTiLGeAddress ff/C3 <br />Toleration, Number <br />7 C , 7,1 _ <br />Dale <br />s 111115 0� S- �� 73 <br />Rt'Cb �� tic F.. <br />.__. Planning��- - <br />I CI20'JGa_ FUIf <br />GE <br />PRGr -R DRAINA <br />vnr � ♦KO! <br />