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tV�r(cTT, \YA�H. pn�ed 7 <br /> �t '�` 1 q. ,lc`j`_— <br /> The Undersigned— ,; '�q'�'���l `_: �r- ��� ���: - — -- " uo�e ,aPpro' ' — <br /> Hcreby applies for permission to ' �r:: ic'�/C r �' _� D �T :.a�/LJ;_> � �:' DY _ -� - <br /> /'���JC/�1'� i)J�ir/=�L/f� y __ <br /> At the following locafion - �� T � 'T �L �.��-N %.. �" f C� !��j�': i:�i�� <br /> ,��,�� : �; �::_..�.�,:.�-� �._..,�,_.e._._,�.__ 3�y �. �. r,.o �- � <br /> SKETCH . i _—` —� <br /> IWork to be donei - -��,y�;�� <br /> I �� ��, <br /> � <br /> i�'� � /��; �:;�„• — -� -� <br /> , � - <br /> , _ , , . j <br /> ---- ---- --- - �i -,r , ---�- , <br /> . ._... __ 9 . aJ � __� \ \ , <br /> 1 � / __ \ <br /> . ; <br /> z . <br /> i `'�4'``� � <br /> �I -- <br /> -- � <br /> ; <br /> i. ^ <br /> Ilj i' ;��� ; �.� '1 � <br /> y <br /> .. . ", :'.� � <br /> I �' �. . . , . . . . _. . . . <br /> The undc�signed owncr herebv aN�ees to holJ and save hurmless Ihe City of ':'orionce Required <br /> Everett (rom any and oll daims lor damoges tha! may arise because of ihc Yc: <br /> insfallo�ion ond maintenonce o( Ihe improvemenl herelo applicd !nr ond �,�o <br /> (urlher ogrees b remove zame upan nolicr, hom fhe Gly ond lo replace all <br /> public property damaged thereby. <br /> � �� �i � . / <br /> i <br /> �ignalwe ol Applicanl <br /> lf, r <br /> �• � Address <br /> r�+ <br /> ielephone Number <br /> —� � �� -' Dalo � <br /> i"7 ,r�'�^ ; � ��„�-,,,�y'��— <br /> Inspecfor'y ignalure , § 1 �_ � <br /> .,� � Fca , � :�, . <br /> �; � �( `� - - /'' . . f �_. <br /> Dale � " <br /> _ / % <br /> �- <br /> DEPT. APPROVALS <br /> Remarkt <br /> fnginccrs <br /> Walcr ` � <br /> v— <br /> Strcet <br /> � � _ <br /> Communiculions <br /> Tra(lic_ ..'___ <br /> —. _ _ _ Plannin� __ ___ <br />