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i� / / <br /> EVERETT, WASH. _ nPP.o��d �ey <br /> �l//Nr ,,�4 /.970 <br /> � <br /> The Underigned . Dote Approved <br /> Hereby applies for permission to-�� �✓ g T• 2 Z � � -��% '` r � <br /> Atthefollowinglocation--���z � '�UQ ,L� I��� <br /> SKETCH �4GWA.�E- ,�'T /5 /GLE�DL I <br /> (Work to be donel ' <br /> �,.�c,t'.��Y ��H�ca� cN;a B,�c�r�u� .,, <br /> ccc ,'3. 3!o .DsO <br /> w� � G S TREE7- .. _ <br /> . G. .:,,<<'.�:�, <br /> � I � <br /> /�. n . <br /> / <br /> � N i <br /> 'Co.. —+�— ' i <br /> ,� N � <br /> e4' e9 v ,4PPP_Q!� LOGdT/c7�• -_ :,� v'� <br /> � i � i <br /> /" z ;10 . <br /> PD,�'�:�vG Lor .o i � � <br /> � .o , � <br /> !, " P.C.coN�. D,ei✓E. . '.� <br /> `: EG,�F-'"SS /NTD .OLL �� � <br /> �' - � --- I ` Q <br /> ;, ° I � i <br /> � � _ � ! <br /> i, <br /> The undersigned owner hereby agrces to hold and save harmless the City of Voriance Required <br /> Evereif from any and all claims {or domages thal may arise because of the <br /> Yes........__...._.._. ..... <br /> installation and mainlenance of the improvemenl hereto applied for and No_.. <br /> further agrees to remove same opon notice from fhe Cily and to replace all -��"""�'���������� � " <br /> public property damaged thereby. ��C�i3 <br /> ��_ <br /> GIh�. . ..,. .AT. . . CiLCL/(�H "_ p -, . .. <br /> � t � � �� �. <br /> �➢J.� _.J.C�L, '- .' S 77_ !% / L <9..! �. \ t , <br /> .' .��"_."Q <br /> ���.�%�..: . �: . ��-�...,�<L. <br /> Signalure o/ Applicanf <br /> ��JO�� —�-- - <br /> _ <br /> -�-r1-c� <br /> � ` __ � - ' --- �~, �vrn , __- �(' v � 1 .� n `` _,� C� : <br /> ,��. Addrest � ,j, ,v ; /. <br /> j's— —.�,2�� I %r`. � n�,'T'_ <br /> �_._�_ . Z� � 1�/t' •S'S"-�- � �' <br /> ielephone Num6er <br /> �"� N011:�:--; �t/PS3fii}3tf ^ / <br /> ___.—_ •. %dt � /G�+-; �'"1 " <br /> !i' Daie <br /> !nspedoi s Signolure ��VI�E F�R $ 4 /� L U Q_ 2�2 / _ <br /> �OPER �RAINAGE <br /> s/T� �HG�CKF_iJ d/.���/L� fee <br /> Dafe <br /> DEPT. APPROVA S <br /> i <br /> Remark� Engineers � n � ' � <br /> Water �. i1"� /i_.�,r, , , <br /> ��� � , <br /> Sfreel !� .. ,• .y. ". . <br /> Communicaliy s ��� :�+-�-+�-+-.G., � ._ <br /> rrotiic Y3'T r - �� <br /> _ Planntn0 r=�`.� <br />