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EVERETf, WASH. <br />The Undersigned <br />Hereby applies for permission fo__��.� f. __ Q / �� %��p , <br />At fhe following <br />SKETCH <br />(Work fo be donel <br />� <br />YI <br />�,,�cavti,��re- <br />The undersigned owner he�eby ogrees fo hold ond sove hormless Ihc City of <br />Eve�ed from ony and all claims for damages ihat may arise because ol Ihe <br />ins�allalion ond mainlenance of Ihe improvemenf hereto oppliec� '�. ond <br />lurlher agrees lo remove samn upon nolice (rom the City and lo �;;: ace all <br />public properly damaged thcroby. <br />Y�v��+y. ... 5[CTION <br />(Hn- �SCn([) <br />�-�i 1tN <br />.�.__.._._ -- _ . __ - _ - -- ----_ <br />� � � <br />. __, <br />-----_- !' �J �'_...._.__ /: <br />.._�.��. ... - � ----- <br />t� _ __ ---------��. <br />. � --- ..---r� <br />Inspecfor'i Signolure <br />�'� li t- "�=� s��/iL�' ) `�'l�E,_Z: <br />Dale <br />Remork. <br />(,n , <br />'i �-,,::n.�� ;n �t li'.... , <br />�4 rlaurs belore <br />��nshuctinn r, r}��i;,� <br />-- — —=--- — _ _ <br />Approved By <br />. `7'/!.'.:L�_S i % '� /7' �/ <br />Date App�oved <br />� <br />r �.�� <br />�_. <br />Varionce Required <br />Yes <br />No <br />�.':' „- . . /. , �'�� _ L, <br />_s_� <br />Signafure ol Appliconf <br />_ �� Drrc <br />Address <br />-- Z � 3 - �i� /'� '3 S <br />ielephone Number <br />_ a .S I _ <br />Dafa <br />s n ra�. �I �/� /, �, J <br />Fce r <br />D/EPi. APPROVAlS <br />Enpinccrs �-/��y�/�� v/( �%% <br />Walcr � ` - /E :��,.� <br />$Ireef <br />Communic(i°�a 7 /. .�� �.N�-'• _ r <br />Traf(ic � •� �f!�' .. <br />. Plannin¢�'�-':�l'. i-G�'7l <br />----___ ----- ' N07E <br />PF�OVIDE. f�OR ��.,;�..,�:;�r,�wti�tr; <br />PROPER DRAINAGE ; , � <; �:�n7r_t� � �� .. <br />_�.., ;,� <br />� li. .; 0"I�(�,_ <br />