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EVEREIT WASH. <br />The Undersigned �'-. . <br />Hereby applies for permis>ion to—_� <br />At the Iollowmg <br />SKETCH <br />IWork to be donel� <br />i <br />� <br />I <br />;�� ,�'/ �� �'t� /J� <br />,G <br />I <br />�; <br />1 <br />I <br />i .— yf ._ � �_. <br />h <br />I : <br />� i ���� —J 0 � <br />I <br />�,____ .._. . __ :1:n�Z1 _ _ � I <br />a � f�' J <br />�r��P �.co __ <br />`— CON�:: . D� .� :�t%'<: . <br />�=�'.`\v�J.pL� ��E��f� <br />The undersigned owner hereby agrces io hold end save harmless ihe �i�y of <br />Evereli Irom any ond all claims lor damoges Ihal may erise oecause of Ihe <br />inslallalion and mainienance of Ihe improvemen� hereio opplied lor nnd <br />lurlher agrees to remove same upon noiice from ihe Ci�y and io replace all <br />public properq damaged �hereby. <br />i_ , � . /. , j?,"ii f //1 �.� . ._, <br />N c_ �� � L <br />� .�; � . -; ��.�:a�_ � �,-� ,, _ � i� � , � � r: <br />.. <br />`� ,i � <br />�� cli.y <br />�L_' � . <br />Inspeciors Signofure ' � <br />Dafe <br />Y <br />Rcrnarks <br />l <br />Ap�ovec� [ y <br />172c�rn%���� 3 14��i <br />Uale Approved <br />i"•5o' <br />Variancc Required <br />Yes <br />No <br />i <br />�t �'40- � 1 � :i 1 l. , .��� � <br />..' $ignafine nl A�plican�; � �. •: . . <br />� <br />� r <br />� ti �f ,lY 1 ' �.. r` • <br />.C�/[0) (/�� �,� dress ' <br />_, i <br />Telephone Numbor <br />Dafe <br />5 �l i �- � /� <br />I_ /:�I� L�/� '1 <br />___� <br />Fee <br />DEPT. P"PROVAlS <br />6igincer i • � �-1' `. -c.`�, <br />Walcr� -d� L��S�.-- <br />Streel <br />Communicalions-�-'�-� , � ...�/� ���— <br />Traffic _ _ <br />plannin� __ <br />� <br />