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EVERETT, WASH. <br />The Under;igned <br />Hereby applies for permission <br />�_ <br />At ihe iol!owing locatior—' � _ <br />�----� <br />- �' �'r /� �� . %,� � '.'.•, :"s/«-" �, ; �,- �• � — <br />, . <br />�r����....1��+.w...�.�/ �y... .. � � . . .. ,_ .. ..-. �.�r✓.c��W� <br />. . .. ..... � <br />j �KETCH � �JOTE <br />� IWcrk ta be dnnel r" ^`• �� �-� �,. . <br />L . . . ...__ [; ��f. i: � . <br />- - -- - _ i <br />�, ��„ ._ <br />_."'�__— �ZL <br />�� � . , . _� _ - / <br />; <br />—�-''� -E--1�.. �` � � ' - 1""—'` � <br />— . i. <br />_ �L:�L� :.-.-_.—.__" . ..._.._ .. _L 1 ._T.-_ � <br />1 <br />I �..�� �'4 5 G'�/A L ; "" � � <br />,O <br />� <br />=�=,� 1' - <br />Apn�cved Ry -�-- <br />1� v �Y r <br />. i � �yrt— l l.- � _ — <br />Da1P Approved <br />f'ROVICE FOri <br />i ; �. cR DRAINAGE ; <br />The und.vsigned owner hereby agrces to hold and save hormles: Ihe Cily o( <br />Evercit Irom any and all claims for damagxs IFat moy arisc bemuse ul �he <br />inztallalion and maiNenanc.e ol �he improvement herero applicd lor and <br />(urlher ogrees to remove seme upon notice Irom Ihe City and b reploce all <br />public �roperly damoged Ihe:eb�� <br />� <br />� , ,./� .' � 1 �' � �i R •- � - <br />Inspedor's Sigrltilure� �-.-�.._-.. <br />/ <br />% <br />Dale <br />Variance Required <br />Yes <br />No <br />..._ . r'C.f�'" .�i: "'' '•�._ _ /... <br />Signofure ol ApplimR <br />� '� <br />. ' . ' � . ) '/ '� <br />Addrezs • <br />. Y /� . � <br />J � � ( � l � <br />l�elephone Number <br />Dale <br />S � i- _ _ <br />Fce <br />�EP7. APPROVALS <br />fngineers �_ <br />Watcr —��<< ' <br />Slrect __�__.___ �- <br />Communicalions - � � 1J�;��� <br />iraffic_ —__ <br />flannin� _—.— <br />