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.. __..., � `�, '�.��.,. <br /> EVERTf, W/+�!�, proved By <br /> ' � �, - , �-L�;I l s t (�9 <br /> The Undersigned i--�-G �„L i ,v�.�/ zti-' Date Approved <br /> Hereby applies for psrmission to '�f'i, �t.': �-" !:!t ^� � ' " �-�';�. '1��.r' ;.;%'., . <br /> � � <br /> At the following locotion � S '`� ` ' �' r1 i�' �� <br /> �_ . . . . <br /> _ .....�. <br /> SKETCH J � T� �� T��E7! I <br /> IWork to be donel , I ..� , <br /> � <br /> I � <br /> V ��, Nor�� � ,��,�-ic -- /'� > >.�>;��.;�����o.� <br /> I _ I Irn-- - J 'r`<'�'.;-'� t�c:a-/ .•�'c� �!/,';-%,r.'-; - <br /> I �� Noi�• <br /> � yvdTE�' G>EGT. TO ,dDJJ SNUTePF <br /> l i 2 vd .�/E �3EFoRG �c.;� • .r�T� Qr� � <br /> ' I +�' D�� vewbY <br /> � � I <br /> I Q F �P �NT A GE .Nc. � � �,_ 4.�� <br /> � � i <br /> � I�� c-3 d ' �'D.-VC. O.�('�vE� i <br /> O � b � 4 1.�C vl'r.t^':.= ..�'F <br /> 4 ��P _ 3 � �G .�-/r ,C ' � . <br /> p, ,��.>,�. :. �; <br /> (y� �9 ,dr �B'„ ����� <br /> i, V � __.. L C :I? <br /> ��I I ` ___ _ . . __ . .. . .. _. :.. � ... . _ . <br /> � ��—�------.. _ ._.r'._.-------- ��So^�� � <br /> � II �'I � '` .. . . <br /> ,�'_.�...._.. -- ----...__�_... ...�. .----- � <br /> The unde�signed ownen c�reby agrees io hoid and save hormless the City of Variuhce Required ' • 1 <br /> Everett irom ony and all daims for damages that may arise becouse o( the --"---���—'�-"- "-�— <br /> Ves _ <br /> ��s����n�f�n v�d moi.^.!^nar.:: cf thc imprcvcment hereta opplied for and No <br /> further ag�ees lo remo�e same upon notice from the City and to replace all - � � � - <br /> public properiy domaged Ihereby. <br /> I() <br /> ) l <br /> � 1 t„ , ,: a - ` �� �� <br /> $ignof�p o( Applicanl <br /> ��t �J/ I7 4"2 �, - �, . <br /> ;.�, <br /> . ndd,et� <br /> �i:l� �.— 7 �. , , <br /> �, � <br /> Tel>phone Number <br /> % � -- � � ^ � � <br /> � ��-- �.7 � Dale <br /> � <br /> Inspeclor's. '�nalure ; L�/�:c �2- �/� �� <br /> % / <br /> ���y Fee <br /> afl�' e <br /> DEPT. APPROVALS <br /> -=�-� -�-1,is is do H e �,=�l� ,, :5 ti : .�_� <br /> Remarks Engineers <br /> Woter�t- `lU/1. .CG ✓7ii .�,.��'!T <br /> Slreel <br /> Communica1 ions � << ,! , � �� J I, ,':� t <br /> TraHic '�+ .(/�=��'. G. , . ' �� � <br /> Planning . `�i�r- <br /> 5' . <br /> / � '_ <br />