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EVERETT, WASH. A;.�o��d oY
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<br /> The Undersigned _ Da�e Approved
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<br /> Hereby applics for permission fo__ �'i� / " / ' � % !/J : ' � ;% ,�f
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<br /> Af the following locafion— "- i ' j � �
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<br /> SKETCH
<br /> IWork to be donel � . • fvC�TE
<br /> U Ci1r�K ':".'ITH `11NTFR
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<br /> �--�.----, Fi��`�""R DRAINAGF
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<br /> The undersigned ownen c�reby ogrecs lo hold and save harmless tl�c Ci�y of Variancc Required
<br /> Evereu from any and all claims for damages �hat may ariee because of Ihe Yes
<br /> installalion ond mointenance of Ihc improvement herelo applied (or ond "', � -
<br /> Iurlher ogrcos to remove some upon nolice (rom Ihc Cily ond fo replace all No .
<br /> public properly damaged thereby. '�
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<br /> fj�U ,,/,,s ;±r C�J,• .� 1 ,r,�,����/ir.J Signafure of Applicanf
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<br /> � � Addre:s; �
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<br /> Telephone Number
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<br /> ;.I i'i•' `G �. • i /f.�e .� Dalc
<br /> Insped s Signafure M�— S . -
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<br /> ;# .. � .. ,;,� DEPT. APPROVALS
<br /> Remarks — � �� ./� � �. _ � , i.� � r
<br /> Enginems ��1� ' � n\. � �i , �
<br /> � �' '�%_ � i,/ Wa�er-��c���i ' �
<br /> Sheet � –
<br /> Communimlinns '
<br /> TraHic��
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