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11.�11�, -/ <br /> EVERETT, WA�ii. Appro�ed By <br /> f�iL�l�`ii� /� �Y,� <br /> The Undersigned � • � . Daie Approved <br /> Hereby opplies for permission to % i�' � <. i � '� - �-. : <br /> At the following locafion _ ' '� � A ;_ '� � � ' __ <br /> � • -- -- <br /> SKE7CH I --j � � ! ' h�� � U � J I `� F. _. <br /> (Woik to be donel � � . ' 1 � ' 7 . � �. v � <br /> - T __ ____, <br /> ' 23 I <br /> ;' <br /> / <br /> // � <br /> % <br /> , <br /> / ' <br /> �/� � f I <br /> - , � <br /> �z '>� <br /> '� <br /> r��----- - _ "- \✓ � i <br /> , � <br /> :-;�; '� � <br /> �\ t. <br /> / � <br /> � , <br /> � i i.. .,�� <br /> �� . <br /> Z�, I <br /> � V ; I <br /> ��—�-�� / � 4 � � <br /> ---� < , � � � I <br /> � <br /> / \�� ,� I <br /> -- -- -- -- \ I <br /> The undersigned owner hereby agrees to hold cn ave hormless ihe Ci�• of <br /> � Variancc Required <br /> Everetl from any and all claime lor damage+ ihat ma�ise becau:e ol the Ye� <br /> inslallalion and main�enance ol the impravement herelo/IIp plied far and No � �" <br /> lurther ogroes lo remove same upon nolice fram ihe City a�id�(a��eplace all 1;T;� � - <br /> public proper�y damaged thereby. � � S - � <br /> ._..._��. _. _ . - -� . . _ . <br /> 1 ` t ; . r. � � ------- . � _. ', ;.�'tiri.._._._..._ �_-- <br /> � ; �•, <br /> , •'°tt) � �. ;_ <br /> {� - - - -�--- -� 6 � i� , , ,, <br /> ' . ' ..._.. . . . i , � Signalure ol Appl' nf <br /> � . ' <br /> . � � <br /> � ` / <br /> • : <br /> , . <br /> i . . ..... _. � . �. � <br /> 4� � - -'-_ ...... . i(J .�-� <br /> .... . �a�� � . �� .._. ..._._ •_J � �, . <br /> __........ . . . , d J <br /> _ __._ : : <br /> ' ' _.. � ' Ad rest <br /> ' _.. <br /> I _ . ..._y� d <br /> .. . . __...._..__.. ._ � , _�.. <br /> _`—•--`-- � -- <br /> C. --- - - -- � -� ( � . • , . � <br /> Y - ll�, � <br /> � ' ; ,.,(; \ � Tefephone Num6er <br /> .._., . . _ . , <br /> . .. . . . .._ ..__..' --�.. <br /> ._ _... �/-/>/ <br /> _....__ _- - - - ooie <br /> Inspeclois Signafure s - _ ��.+`� � <br /> �Sir �i,'c�C�B/J ���-�'./.�7/ F�� <br /> oa�e <br /> DEPT. APPROVALS <br /> Ramark� Fngincers-_ �i+��/�✓J' /�y�1� <br /> �r � <br /> Waier _� ./,-: �-v,•,-: <br /> Slrcet <br /> Communimlionf ���� --�'��� � � <br /> Tml(ic � <br /> — Plonning <br /> ; <br /> C�II Cnginecrinr I�ept. 159N8U3 i +����. _ , ; . � � � "�'-'i�:� , . <br /> 24 Hours before � <br /> cnnslruction is slarled. ' ! <br /> ... ... . I ' ' � '�'li.,-!�/)N <br /> _.._,. -.�,.,,�a�.�.. <br />