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i� <br /> Permit No. _�:..�._ '' �� <br /> �/-�---r-. <br /> everett <br /> APPL{CAffON FOR 13RIYE1`r`A`r' FERIJi(T <br /> CITY ENGINEERS � � <br /> r"'_ �Lr�. _ <br /> EVERETT �VASY.. "- Approved ey <br /> , / .,/� �q� /9�7� <br /> The Undersigned �����-'�f ��':' /: _ ,r{ • Date Approved <br /> . � � <br /> Hereby applies for permission to�� : �_ � CJ r,�"; � -C `7.{ ; ; ;.� <br /> At the (ollowing location� *=- � �/�-d� G �t�'-fc-7 <br /> SKETCH <br /> (Work to be donel BR�� D N�� y �-�����_��_ , <br /> 1 " . 5D �, <br /> "a.'"�-'--- <br /> 9� ;',.;_,-CO/`�C. U�/b'E � <br /> _-_ �e, <br /> l "--�---�---_ <br /> �o -----i_ <br /> , <br /> � <br /> � <br /> � <br /> : <br /> 5, <br /> z , <br /> b <br /> R <br /> r <br />� <br /> II � <br /> I <br /> � I <br /> 1 <br /> The undersigned owncr hereby agrecs lo hold and save harmless the Cify o( Variancc Required <br /> Everen irom any and all daims tor damages thal moy arise becrose o( Ihe Ycs ._ .. <br /> instal!ation and mainlenonce of the improvemenf herelo applied !or and �-���- - � �-- <br /> further agmes ro remove same upon nolice from the City and to replace all No _ . __ . __.._... <br /> public property damaged Ihereby. <br /> 1 � <br /> � ��,��1� ��, . ���<<� i��,� . ti��� Pfa��: . <br /> ^�1 c.ol,c v�'� <br /> .::l��• ����� ��` � //�:' � � . � <br /> / I� I��C ��L JS ��.;1/ � . .11l.��l�':�J'�6 / . �i 9t ��� <br /> � � �/ 7L� � �� Signature ol Applimnf <br /> �� �, ��; LG ii�:��l� > <br /> �I � ,7� / ;✓�1:u- -.� <br /> nad.e,: i <br /> ��;",� �� y�S - J -,�t� :3 <br /> � Telephone Number <br /> �f � / �r � C' <br /> Dale <br /> Inspeclor i Signalurc 5 , A J G �,� � ' <br /> V. <br /> �- 'Q'3�.2¢ <br /> .5�;��E�.1'E/� .�°/.Z;� Fee <br /> r, , <br />