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EVERETT, �t�ASH. <br />Approved By <br />r '-� '� •�K/,�it�C�—��%� <br />The Undersigned�J.�_�� 1 _� F L r_� r M oa�� Appioved <br />Hereby applies for permission fo '� � IJ .S T .Q !'. I'7TJ__ „� 7",�; Gl U; 4: '• 'J ��:�J <br />Af the following localion �<<' z/ - l,�'_F1�r <br />SKETCH <br />IWork to be donel <br />\ � j <br />„ , <br />� -�� �. <br />/ / <br />/� ' <br />� � <br />� <br />�' ��i�� <br />� . <br />v , <br />/ /.� \ <br />\ :'� \ <br />�� ` � /•/• �, \ \ <br />�� / �AZ\ \ � <br />� � <br />INNTF_�f: J�L�E_: <br />\ �\ \ ,ial'1 <br />� / \ <br />\ \ <br />'�, \ � � <br />Thc undersigned ownen c�reby agmes to hold and save harmless the Ciry of <br />Everell from any and all claims (or damages thol moy arise because of the <br />inslallalion and maintenancc of Ihe improvemen� hcreto applied for and <br />(urlher agrees to remove same upon notice from Ihe City and to replace all <br />public property damaged Ihereby. <br />; V(_; / �- , <br />Inspecfor's Siynalure <br />1 /TF �NFr',CF"iJ �/ �i <br />Date <br />i � <br />lic:.,.�i�: �:j.; . . <br />7d Hours' belare <br />- ,1nir,tion is started. <br />� � <br />�e �, � <br />\2 ,, � <br />� % <br />,� � <br />� <br />,\ <br />i� <br />Kg iancc Required <br />� Ycs . . ... . _.. <br />/ No <br />iil�F>'T<-i--' ,�;%/U:r �i!"�= <br />I/flt. •�� To B,E Gu�-���- <br />- - ' .7_it,J= ' <br />u <br />i � � .�� ,��7 <br />i /' n <br />, J s,:. /}:.�r_ � i tL. <br />Signalure of Apnlicoif � <br />. �� � . <br />%�_7;'__ �Y�_t._ .�_.L , - <br />Address � <br />- � . ' } ' -- <br />`.� . � � , l,. <br />Telephone Number <br />Dafc <br />g I.�, �: �: ! <br />Fee <br />DEPJ-APPRpV,AL i <br />f,��,��� �� ; ; <br />Enyinocrs -- �d �� <br />Water -" � �-....�.. �� / /— //— 7 I _ <br />Strcet_ '--�-- _ <br />Communic������ T�' �� ._ <br />Traffic �.� �f � _ <br />Planning R.µ-S. . <br />' P!i; �'L <br />� Ii I'JA17(2 <br />� + i �I; Uf:c" <br />. � � �,;.r , y��nt�,crinr� <br />� ,��,.: �. _.. i� .,. <br />� �. _� .: �4 f 4+ `�i�:A� ,F <br />� <br />