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EVERETT, WASH. <br />The Undeisigned <br />Hereby opplies for permission <br />� <br />5 <br />lhdproved By <br />v <br />`i`�. r� ' l�i(���t <br />Da Approved <br />At the following location ' � <br />G+i�Qi1' j,i, j'I�,� i<('%, �� 11�� �: ♦' ' _—_ __ ____ <br />. ., : <br />` .L...��—... � . .._ .........:.r_.. . <br />� SKETCH � _ ., .. . .. _ .. _ ,_ • N^�TE <br />IWork to be donel �- : -� � ,. . " . <br />[` , _ . _ _ <br />__ -:' ' '.,-. . <br />__.�._ , <br />- - ------- --- - � ��, ,..,... . �. . , . - -- <br />—� i.r�.'.i�/I:`_ r.... F_r �__- ' <br />i� ., �_.. ,. _ .. � <br />i <br />'- . . • , '— ' -_ �_. _.— <br />� . �.� / . , �_ : _. � <br />/ — /� '-_ J _ <br />_...�� � +-E-��, .'(��=1/ ��s-� / �/�i�� .'._� <br />- _�i�- --- _ . ,�-- �. ._ , - �, <br />� ,.� -�,; , _. . ' ,, <br />� �\�_- I _,- , .,, ._ . � " � • ._ � <br />� <br />I� <br />The undcrsigned owner h�reby agrecs la hold ond seve hormless ihe Cily o( <br />Everc�l (rem any ond all daims lor domages �ha� may arise bemuse ol �hc <br />installalion and maiNenancc ol Ihr. improvement hcrclo applied lor and <br />furiher ogrees to remove same upon nohce Irom ihe Cily ond 'o reploce all <br />pubGc p�operly damoged �hcrcby. <br />, .� , � . ��. , <br />Inipeclor's Sipnalure <br />Dole <br />Remarks <br />N <br />1'L I I'3 i <br />I <br />Voriancc Cequired <br />Yes <br />No <br />� <br />� f <br />r�' ,. . �. yc i,�• '; d � ; , .,L L� � <br />�-� �s <br />.♦ . $ignalure ol ApplicaAl <br />r. � <br />('�l :'� / ' .' � ' • i� 'i � <br />� y Address • •�+ <br />,Y �� .. <br />_ _ f.!! � <br />telephono Number <br />Dale <br />f �_�-;r--- <br />� J - +- <br />FCB <br />nrer. nrreo�'At5 <br />Engincers . <br />Walcr _'!, ' ,,,n, �.� <br />h�—�= <br />Shecl_— — <br />Communicalioni '�s..� -=T.•t 1 �� <br />Z"""__ <br />T��f1ic <br />Planning -- <br />