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EVE2ETT, WASH. App�oved ey <br /> �- � �� Date App�aved <br /> The Undersigned_.r ��s1,!r�_�//-� n <br /> Hereby applies for �ermission to ��Q �a a J��u a A Aea <br /> At the following location I: � '� (' � '1'� - . '�"�. • (./ ✓��e tie✓ eJv. / 7�IX. 4 �ef5 � .� <br /> , 7 — <br /> � SKETCH <br /> f IWork to bc donel <br /> ;; <br /> il <br /> � � --.-----------. ._-- ..____._____ . __ __ .._. ..._ __--. <br /> � � BALLEW � AVE. <br /> � . ��� �.—.._.:�"{ 4 ._. _...Praopo sr d As p�..l f' ]-� Q <br /> v�u <br /> i <br /> ..� l� \V�� ' , i ' �� " F� � <br /> � � i . , : � —�1 .. . ��ti•i�i ' � ti . . . <br /> /30� . it� . � _ <br /> �—I— �, <br /> � <br /> � <br /> — —� -- <br /> The undenigned awncr hereby agrecs lo hold and save hormless Uic �ily nl Varian<e Required <br /> Evere�l from any and all daims for damages �hat moy arisc becausc ol Ihc Yes <br /> installa�ion and main�enance ol Ihe imp�ovement herNo applied lor anc No <br /> further agrees lo remove same upon notice hom Ihe Cily and lo rep�ace all <br /> public properly damoged �hereby. <br /> r , <br /> � O �.C, . F.., � .: . <br /> i <br /> ,� Signolure c� Appliconf <br /> �' y':' . . r,,'.,� _ <br /> ad�.as: <br /> 31_: -/o S-._ <br /> ielephone Number <br /> ������ <br /> Dale <br /> ' /,.' _j�i _ � _n <br /> Inipecfor'a Signalwe S ---�.�.� <br /> _� - a � - � 9 — -- F�� <br /> oa�e <br /> DEPT. APPROVALS <br /> ) � C l • ��.�` <br /> r <br /> Remarks Engineors � liY�' i � � <br /> Waler_�:�i�s1/`2 <br /> --- Slrc^r ' � _ .' '�. <br /> Communimfiom� - �' � ' <br /> Tm((ic_ .. —_____ � ' _ <br /> --.--_— — Plannin�7 '���y:--_— <br />