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EVERETT, WASH <br />Approved ey <br />The Undersigned_�� <br />Dote Approved <br />Hereby applies for permission to G lJ i' f� C 2055 -�—r n cam,..- -, I - _ <br />At the following location_ 6® p-'r i <br />SKETCH r s <br />(Work to be. done) 9 �� t O —^ —� L D G l <br />�_ _ _ / PetJerZ, Con�Dut-r <br />MW <br />— XJ --Cr+ossrr,,c. <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all u.lims for damages that may arise because of the <br />installation and maintenonce 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 />�— <br />inspector's Signature <br />%;z <br />Daft <br />Remarks <br />%911 Engineering Dept ?5q 1"T <br />24 Hours before <br />contiructioCtted <br />4q <br />NOTE <br />"� WITH WATER <br />I LINE <br />r Yr:nVATIC"( <br />1J 0 T1c . Lo CD 2 K 64+ : 'ai eg -4 <br />C or-ti PLE'f C; o <br />Variance Required <br />Yes <br />No <br />Signature of Aopricant <br />Address <br />q „ To no Number <br />Daft - <br />$ (3 - lS <br />do E <br />,dam.% 41 _ F" <br />8� :0--73 <br />Mr. APPROVALS <br />Engineers /rs^' �� 7U, <br />Water <br />Street I'd, . /. .. <br />Planning <br />PROVIDE FOR j <br />PROPER DRAINAGE <br />.�e.4W <br />