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Ul �i Ci JGII 1LLn,� /�f�.i L^ _�'. •% <br />EVERETT, WASH. ` ��Approv� <br />. . .. fG<<_ 3F�L�fif�' i� �iC.0 /� /�%Ci <br />The Undersigned_� <br />,.a f. . ' f-- Dalc Approved <br />i.ereby applies for permission to ' /� ^�� . � ;' / � :;' f�/ I •_.� � J <br />Af the following location <br />SKETCH <br />IWork ta be donel <br />r �~ f /'." �/• I� . - �./!� <br />Evcrcll from any and all claims for damagez thal moy arise because of Ihe . Ycs <br />installafion and mainlenance of the impravement hereto applied ior and <br />fudher agrces ro remove same upan notice (rom the Cily and to replace all No ._.... .....__._. <br />public pra�crly damaged thereby. <br />Nf� � �_. � �' .J� _._.. <br />� 2:�� <br />Ci� T'0 Y�� �' �r <br />_ ----- S��r.,��•c -r;�: <br />S 1 CG� :'.�I�: • <br />f� - llii _- qr:. � . .. <br />Inspeclor's Signalure <br />._ ��'/T/_= �NEC.�fr iJ �it' 71r <br />Dole <br />vf��'i: <br />i,,,�,,� . <br />'jr,T i: r B�7Gl- r l l` : <br />�,,a�u— <br />i. ! �� . ..__. <br />Call En; ineerini; Dept 7'�1�;��,��03 � <br />r'kr_i,r ��iill-� F.'n1�Lit <br />;9 Hmirs t!etor • r : , � ; i � . : �_i':�' <br />�.rn�,lrw:li(,n j,, I. <br />v ' <br />/ i�,- '� � <br />Si� urc of Applicant <br />7$ 3 S� /.�e.,.. f�.G�„�..,,� <br />add«,� <br />Telephone Number <br />�' . <br />% �' �- / S- / rs''7�.. <br />; ,� <br />Dalo <br />, , s �1i(/ ��•�— <br />Fee <br />DEPT. APPROVAL`S <br />Engincers_ ��%�:n.r 2/�y�7�'- <br />Waler - � / ' i r -i . � i <br />Strcc: tr.!_ ,�Jttw,. •.l ^L � <br />Communicqt�ions � � � � <br />Tra(fic P�S' ,c''" ,,"':.' �- .. � y' 7 Z..- <br />Planning lz N-� ��- 1%''- %�C-.. <br />_ -I <br />i <br />, . . ,i� . .,_ i <br />