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C.II i LiJI�IIJ�th:: <br />EVERETT, WASH. <br />The Undersigned <br />_ ..1r�����:l���- <br />Approved By <br />�QPR/� �L� �7� _ <br />Date Approved <br />Hereby applies for permission b� �` %Sf O� �,� n/,�� ". /'j-'�r '/-�/_� <br />���' , / <br />At the following location ��' ;�� %� �y ! � _ �!� _ � � <br />SKETCH <br />IWork to be donel <br />N � n` <br />";g E ✓, <br />� <br />i <br />�'�.�/�� . _ <br />The undersigned owncr hereby agrecs to i.oid and save harmle:s Ihc City of <br />[verett (rom any and all claims for damages that may arise because of Ihe <br />ins�allaiion and mainlenance of the improvemcnl herelo applied (or and <br />further agrees to remove same upon nolice irom Ihe City and to replace all <br />public properly damaged Ihereby. <br />Inspeclor's $ignafure <br />S/TF' �../�-riCE.O `/�.�3�7i <br />Dafe <br />! '/9i1/G��G'.fi'� {�lk%t'i£!� l� _ ) �llir" �:�,�11L' fi^=�r,�t�.'.1�=-- <br />Remarks <br />/�(/ s,�ri-o, io,�i ,��,�r.�.� <br />' Nfa7'E <br />l'NFCK tN17H WATER <br />� � � .. _; 1'l9Tf-R !.IiJ� <br />; ,t��� �'�('AVATIQN <br />� <br />Varionce Requ;red <br />Ycs . .. . ._.. <br />No <br />� � � <br />�f . <br />/ ' <<: t t'r_�• 1 ,-/, i'(_-.ls -�'.-� <br />Signalure o( Applicanf <br />: !: � t.- '� /`_, �. <br />� Address j! <br />' �; �i�' _ <br />Telephone Numbnr <br />Dafo <br />S ,�� �� f� ! /-- <br />Fec <br />DEPT. PPROVq�.S <br />Enginccri� �/�-✓�•� <br />i�Watcr �'•!�'r _� . y. 2I_ • i � <br />Slrecl �� ' ' <br />Communications� ��'"�_�=—= � � _ <br />Traf(ic ' <br />Planning %–f{i�� <br />