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EVERETT, WASH. <br />The Undersigned "! � ' F' <br />Hereby applies for permission fo ' l^ ���_ <br />� <br />At Ihe following locationl � ` • � '- —" �- <br />SKETCH <br />IWork to be donel <br />� <br />.. , <br />� `, <br />!, v' <br />��,- <br />The undersigned owner hereby agrees la hold and sove harmless thc Ci�y of <br />Everelt (rom any and all claims for damages �hat may arise becavie of Ihe <br />installalion and moinfenanr.e of Ihe improverent hereto applicd for and <br />further agrees to remove same upon no�ice (rom Ihe City and ro replace all <br />public properly damaged Ihere6y. <br />a_, <br />�,'� ;-�:: ' _ --------- 1 � . , . .- , �:- � <br />�-- ' 1,6d <br />:-/� j:�� 1':;U1�. �i✓F_ l�IA�.K. N <br />!{r '���.� i !1:�t�( I. 4�� � <br />.. . 3,�,'� <br />�i <br />Inspecfor's $igna'�•�o <br />SITr �.�i�c;rc/� '��/f�T<i <br />Date <br />��,�!i i!:r� ,�,,:nii� D^pi. _. <br />:'; Nours �eto�e <br />�;:i,;.!rurtion is slarted. <br />, �aJCc. �.UA��� L=..d <br />, -�"L' , � � � 1�:. <br />���� ��r�l.�Jc' 8��"� <br />.'?�� U• <br />') n 7 <br />) <br />' ._...',1�i!i . rf�ri� <br />' r� �� a.;�rt ; �_;:;�' <br />! ,. . � � :;; u,'.� <br />'_ �_'i_ <br />Approved.By <br />�.t, i�.F�c�H.� y/ .2�J /Q7t� <br />Dalc Approved <br />Voriancc Required <br />Ycs .. . .... <br />! No <br /><y�-�' LI �An✓.t <br />i' ,� � '`� <br />��,. �.i U� <br />' � ..._ ` <br />—7'Signalurc ol Applimnl <br />% !J �� /..7/.+ /�l�i�ri� <br />� Address <br />Telephone Number <br />�- <br />.r� /� - �i'%'L <br />uom <br />s lJD F�� <br />Fee <br />DEPT. APPROVA�,S <br />�.. �/ <br />1 <br />Enpincen'—��-�-4'�"- � - <br />Waler -�,.,. 7 -' �7 7:� <br />Shccl <br />Communications � % -'�'" � <br />TmHic �_ Fl. � � . Z - / 7 - 7'-.- <br />Plnnning 2 µ 5 7- I 7" 7 Z <br />,� .. <br />, . _ _. <br />��,. ..._ FOR __ <br />� r�:�::, �_:, r.�,�niran.�;r_ <br />i <br />!..__.� � <br />_. � <br />_._.. _, __I <br />