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CI I� Lf JC;Ii �L!.F , <br />EVERETf, WASH. <br />The Undersigned <br />Hereby applics ior permission <br />At fhe following <br />SKETCH <br />IWork to be donel <br />� <br />���N��� >���� <br />:� �'�-J"'.�7 a'�b'M �✓Ois <br />✓''O zC�'1.S i�7�J �:��=✓/1/ <br />��! b� 3..�b.�lh'?�"Y :� r i,?/V <br />�' <br />Thc undersigned owncr hereby agrces to hold and savc harmless thc City of <br />Everetl irom any and all claims lor damages that may arise because o( Ihe <br />installalion and mainlenancc o( Ihe impmvemenl hcreto applied lor and <br />fudher agrees to remove same upon nolice 6om ihe City and �o replace all <br />public properly damaged thcreby. <br />Inspecfor's Signalure <br />7%T� CNrC:� r i7 �/� /l'.', <br />Dale <br />1 . � I'����i{� l���l�. [.��� 7'�.�..�.j <br />2d liours be(ora <br />_� ��uction is staried. <br />� � ,�: � . . � <br />Approved By <br />��� <br />/ci=r3,�?i/H!-� �� ��� /5�/ti <br />Datc Approecd <br />�.�� .� � - ��..��,�,-� w,��� <br />�r�{i ",� 4G'i Si��r <br />C: r .S%D,�.-i•r/A<ti <br />\�' <br />�� <br />\� � � <br />Variance Required <br />Ycs . _.. .._.... <br />No. ..... ..._.. <br />i <br />� <br />i;!^ <br />� r � I�i / <br />t� N , <br />_v�- —vl..• <br />Signafure o Applicanf <br />I�J�7 .i JFtrP�!`1• SJi'�t�i <br />ada,�,: <br />r'�i,' r� <br />fl{ �P ,'117fIl�hTTl2 <br />� � �;7 <<-�t LIf�IE <br />i .... �.r� � . <br />. (,. �,��, .� <br />?s' � � ? �% <br />Telephone Number <br />c - I 1 - '7 Y._ <br />oa�� <br />Fee <br />DEPi,_APPROVAfS <br />��� /// <br />Enginecrt � = �" �� � �-� � ` �/y/`� <br />Walcr 1��...._. T". .;2-/4-�Z <br />�' __—..__.._. <br />Sfrcet -�— t � � <br />Communiwtions 1� " �-�'^^ �/�t-�--- �' ' <br />Tra((ic s F. '� j ' '�° ' <br />Planning 2 /�±S 1 ' / `i' / L � <br />....... . .-- �- <br />. , � --�--�-•i <br />, , . . _ .. �'„ <br />� . � I. I, i„�i�qU_,�. <br />