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EVERETT, WASH. � �� rovcd ey ��- <br /> � �J' f, . ,S} I� 141oR <br /> The Undersigned ��F�'�'1"� ���GL/- '�r'� ./ Dnie Approved _ <br /> Hereby applies (or permission M ��������'J���L �� �����/� ` < '-�l~% ✓'± —.- <br /> 7.c . , <br /> At the fallowing lomfion �_J���. "'`- '� ���•� � <br /> ,.-_,_._-- . . . . <br /> SKETCH I -• <br /> fWork to be donel _---- <br /> r------- <br /> VEL G-4� !, - ' ;,. i r• <br /> -- GRq ',:. . <br /> 25 T" �� STREET <br /> � %�� �9 ---_ <br /> .� � �;��— � '' o — <br /> i <br /> � �h <br /> 2 JO / <br /> � _' __.�__"'"_-.—'_T'--- <br /> � 15 � " : d-,_.�, <br /> � � ( � <br /> � � �4 � �� <br /> � � ( -------------- - ,, <br /> , ___ I � <br /> � � ___ ___._�� � � <br /> U ---- � <br /> �� �� i <br /> , I, .� <br /> I <br /> The undenigned ownar hereby ngrees lo hold and save hurmless Ihe Ci!y ef Voriance Required <br /> Everell from any and al� daims (or damages Iha1 may arise because o( Ihe Yxs . . __. <br /> inslallalion and mainfenance o( Ihe improvemenl herelo applied (or and No . . <br /> f�rlhei agrees b remove �ame upon notice from the Ci�y and �o replace all <br /> public property damaged there6y. <br /> � � � <br /> �� ALOlJC�1�f� V�-��1:. <br /> Signafure of Applicanf <br /> / �"/ 7 63..Jr.ar,Ms�....L'i,.., <br /> Addnss � <br /> A � 2� �` (, 7 .3 <br /> Telophone Number <br /> , <br /> �.,,� . � i � 9G `! <br /> �" �.� . �� ' oare <br /> / ) � <br /> �s F�n G� , ... A:lI. �a.�•. - <br /> Inspeclor'� Signalurs S <br /> , Fee <br /> �5/ /'1�G `� <br /> DaH � <br /> � DEPT. APPROVALS <br /> / /c r�. / // i1 s' �.t�_ ,'i !: ��%� � <br /> Rema�ks Engineer � <br /> Wa�er <br /> / S //✓ � ;� i' � }/ � �� •� .- 7t I•�. %�r _ Slreel <br /> � Communicafiuns � _—_— <br /> . ' Traf(ic � . <br /> s <br /> i�N . i - �' /�r / 2 i : f '�"! i "/ � !� f � �� Plonning .. <br /> Z� <br /> � - <br />