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1 �. <br /> Permit �.�-�=--- � � / ' , + 1 fE� <br /> APPLICATION FOR 9�tb-f�.�iY_-��Rt�t� /�� �,L ; <br /> UNDERc��c,ir�or C_on.'d�ur /, � <br /> CIN ENGINEERS I�, <br /> EVERETT, WASH. Appioved By I <br /> The Undersigned ���^ ` �_^'��- -^�'� ` r � �^• Datc Approved <br /> � � <br /> Hereby applies for permission to��o a �P e � ' h � ("�� � � - �'"� """ � �' ���' �/ <br /> , . <br /> J � I <br /> At the following location �1 �� `'� =� +L �• �- " ` �' �. `�,:��'n_� C , l � . 7-;� • <br /> i� �� � �_ -, _ - - ;r �, .r'y// ��GL hyf i <br /> SKETCH � I <br /> IWoik to be donel <br /> -,, <br /> U� � <br /> �o1DY ,4v �, ;� ' <br /> ------.- —- _ __ - - -- -- <br /> —_ --- — R�. - — -- � <br /> -�— <br /> i'_ao' r'�opo,�� � �" A 1 '�! M <br /> �r�bEW6RO�ND ��~�� <br /> teNdu�i <br /> 3' Otep <br /> 34 �� �� <br /> F <br /> � <br /> M <br /> k PoLc <br /> ._.,. - . - __ _ .. - _ . ._. _ _, ._� <br /> + <br /> The undersigncA owner here6y agrees lo hold and save harmless the City of Variance Required <br /> EvemH from any and all daims for domages thot moy arise because o( Ihe <br /> Yes._ ..__._..__ _.... <br /> installolion ond maintenance ol the improvemenl herelo npplied (or and <br /> No._. . .. ........_...... <br /> furiher agrees ro remove same upon notice !rom the Cily and to replace all <br /> public property domoged fhereby. <br /> � - � <br /> .d�_/ . ri�"`�fi'�G.'s-��'J, LLc . <br /> $ignafure ol Applicanl ' <br /> rL- � / / <br /> �%��7.'� /� / " . 'Z.•��1.!�L"/ � .!'�27 . <br /> � add�e,: <br /> i /� <br /> f- -� Y �,��Y� <br /> inlepkone Number <br /> / ' � <br /> 7�,l/�'� <br /> I DOIC <br />� -�J-. ` �� � � /�� / <br /> Intpecfor'r$ignalure - a <br /> Fce <br /> Da�e <br />` DEPT. APPROVALS <br /> i ' <br /> Remorks Enginecrs y / , ���' <br /> Waler ��"='�• � <br /> Slrcef L � , ��� %/�`1 ' <br /> Communicotions._— <br />