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_ .. . . . ..,.., .�. ,_, U�O(�/' ��.6'w'�.+��.. <br /> EVERETT, WASH. proved ey <br /> , , - Ck..kober 23, �ac�a <br /> The Undersigned "� � / Dale Approved <br /> Hereby applies for permission fo % � T � ' <br /> Af the following locafion �=' ' = <br /> SKETCH <br /> IWork lo be doncl <br /> The undersigned ownen c�reby agrces lo hold and sovc hormkss Ihe Cily of Variam:e Requlred <br /> EvereO (rom any and all claims lor damages Ihat may arise because ol ihe Yes . .. <br /> insfallation ond mointenance o( Ihe improvemenl hercro applied 1ar ond No <br /> lurther agrees lo removo iame upon nolice from the Cily and .� reploce oll - <br /> public property damaged thereby. <br /> --- Signalure o/ Appliconf <br /> aaa�a,f <br /> ielephone Number <br /> -+� . � /� Dale <br /> a l�-(ti <br /> Infpecl : Signaluro�.. s <br /> ,C .J �- �f y Fee <br /> Dale <br /> DEPT. APFROVALS <br /> Remodc � <br /> Engincers _ <br /> Waler� .__' <br /> — — Arecl <br /> Communicolions <br /> Tml(ic _ <br /> _ _ Plannin� <br /> � ' � i1 <br />