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�_I I �i li il,•II �LLF.� <br />FVERETT. WASH. <br />The UndersignecJ _— <br />Hereby applies for permission <br />At fhe following <br />SKETCH <br />IWork fo be done) <br />�','� j-.. j_— ;' ✓. I'� i-� <br />\ <br />�� .. \ <br />\� <br />� o:'� <br />\ �. . <br />� a�. <br />5 <br />� - � /^\ <br />�ro,f J : <br />\/, <br />, <br />, <br />�; <br />;.� <br />%o <br />� � � <br />i <br />� % <br />/ <br />/ ; <br />_— /i�(i/i/��e�f <br />Approved By <br />Af=�F71t-. � � � <br />Dalc Approved <br />p �� �� <br />— —� I� -'-- ----� <br />� �� <br />��� BF <br />�t� R <br />� , � �, <br />��. , <br />� �� <br />;�� % �� <br />, <br />;' '� <br />�' � ,� g; , <br />� �� � � <br />Thc unde,i�ned owner hereby agrecs ro hold and save harmless Ihc City o( <br />Everett Irom any and all claims for damages ihot may arise because o( Ihe <br />mstal�olion and main�enance of the improvement herelo applied for and <br />(urther agrees lo remove same upon notice (rom Ihe Cily and lo replace all <br />public property damaged thereby. <br />� <br />Inspeclois Signolure <br />t <br />. Sir.E' �i�+�c,r.�=n 4/lG�7i <br />oa�e <br />Variance Required <br />Yes <br />No <br />����:: k.���ns�. �osrr�N <br />�"�t2 I �;� � ,,!..s',.',: �:: < <_.-- <br />� Signofure al Applitonf <br />l"5����.% ��iL�� 1�•G'C <br />Address <br />ielephone Number <br />,. . ,./ �l ./% <br />Dalo <br />s N o F��___ <br />DEPT <br />Enginecrs � <br />-r <br />y,,�. Waler , v ` `✓ . <br />� ' <br />' Slreet �f�" �' <br />Communicafions ��T <br />Twffic �-= <br />r i;0'J'JE FOR ----- � MOTE ��� <br />�p ���� ���• ��i9 ��� PROFER DRAINAGE I �:r��CK 1vi7H Wnf[R <br />� HP,Nf? ��(yE� \ D� rT. F(�!2 �vAT[R Ll��E � <br />COfibllllCl�Oq j5 S�a(ted �L�)CATIOWS pEfORE EXCAVATIOIJ� <br />Fee <br />