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� � . � i , . . . .. <br /> 'eVERETT, WASH. � .�proved By <br /> _ . �11X?�' �, ��lc�� i <br /> The Undersigned ' Dore Approved <br /> r � <br /> Hereby applies far permission to—' � ' ' ' ' ____ • ;� <br /> .__._.,___ - - _ --•---_._._' <br /> At the following location � • �' - ,'�" <br /> SKETCH � <br /> (Work to be donel ` • � <br /> B��J A U YV�( y �i VE 7'�i- <br /> ��� �IO GD�G. �.ei!lE � <br /> e <br /> d � <br /> — — �,T k_` :' -„ <br /> �rCe./,'"'.. �../..c., <br /> � � <br /> i <br /> i <br /> �rn I I <br /> i <br /> " / N � � �� � <br /> � � n'� f�.� �'` <br /> � <br /> ��� <br /> �� <br /> I <br /> The undersigned owncr hereby agrees to hold and save hormless the City of Variance Required <br /> Everett irom any ond all daims for damagez that moy arise becauze of fhe Yes .. <br /> insfollotion and moinfenancc o( the improvement herelo npplied {or and No. .. <br /> furlher agrees Io remove same upon nolice irom Ihe City and to replace all � �-��-� ��� ��- -�-�� <br /> public property damaged thereby. <br /> � � /.y Y <br /> C^,�'�'l'���y� ��C�[_� /�� ' O� <br /> � M , � _ <br /> � Signalure of Applicanl <br /> ,�_�A�� , � <br /> , - <br /> Address <br /> i / - <br /> ielephone Number <br /> � � <br /> .,/��jl� >, � ` .'✓�r��„"l �-y�� -- Dale <br /> :Cl 'I�a-•�r�J _. <br /> Inspecfor i Signafure ✓ $ �,� ��:�- , ,� <br /> /L �// /� J Fec <br /> DoFe <br /> DEPi. APPROVALS <br /> \ J , , <br /> Remarks i Engineer �' �/,��—'L"`�`^"L <br /> �� Water_ <br /> Slrecl <br /> �ORlrtlunirnlinns�,�-'.1 ( �� �� � � �!�.�. <br /> %�� TfO��IC <br /> Planning <br /> - ti: <br /> i . <br /> .. �-- <br />