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EVERETT� WASH. Apprnved By <br /> � <br /> �>� , �/ i <br /> The Undersigned _ ' � � � � ��%"�-� F ''��;./7.- '.. � Do�e Approved <br /> i <br />, Hereby applies for permis:ion tu���/ '�%'C'�• �- �- '��. <br /> At the foliowing location �a�=� � ��r ..ft-+y <br /> �r__.._.� � _ _ .. _ <br /> SI:ETCH <br /> (Work to be done) ��� � � <br /> ,35 r" ST,2EET � ;�� f �:. � ; <br /> P+e�fi�5E,0 6 ftG. q EX/ST/N6 D�/✓EWAY <br /> � • �� .9P�E'�.Y /S' wioc <br /> ��_- <br /> NOTE BUGKNEAD� � <br /> Tf�E ,PEQSD�/ FdQ TNE Cd��t �`p 2 , <br /> ,�-i�=':v1 :'S ST.C�/C?'G� 1�'J,E' <br /> PG,E�f'/NG /�,'/2r'?:�SES. � <br /> ;•F. <br /> o , . <br /> N � t' � d-o <br />� � <br />�I � O <br />� � �I <br /> N <br /> ' �`1 <br /> The undcrsigned owner hereby agrees to hold and save harmless the City of Variance Required <br /> EvereH from any and all claims for damages that may arise because of thr Yes. .. _.._.._. <br /> installalion and mainlenance of the improvement hereio applied for and No. _._ . <br />� Iurther ogrees lo remove sume upon nolice from the City and ro replace all ----- � � � <br /> public properly damoged thereby. <br /> �� V �� <br /> �� / , i�/�� �% : � � <br />' �j �'�� S�gnafure of Applimn <br /> I �i/1.1i..�? �'�--�lL �X' .� J ✓i�J <br /> ti�•�T?`. <br /> Address <br />� -� -� `I —J '�� ��— <br /> 7eleph�ne Number <br /> Date <br /> Inspeclor's Signalure $ <br /> / i <br /> i <br /> f�i.'�//r� ; Fee <br /> Dafe � <br /> � DEPi. APPROVALS <br /> .rJo �. ?I r ( ,, ���,�c- *i _ j' , � j. ..:1%.. .� ;�{ <br /> Remarks Engineers - <br /> Waler �v � � �=— <br /> 1�. ..�%� 1 ��e tl�. /I< 1� `r�� — i.Y.,r� .. <br /> — Slreet <br /> � Communicationsl`�.� � i °;)�;�N _ <br /> Traffic_ <br /> Planning <br /> �,7'Ir;/1� CI,� ✓�f/CP� /'iy'G' :^ � r<.�,�.� <br /> ,,, 1 re,-,,,;1f�.�� 6y c,df. �o �a <br /> " i3• 3G , /�o '�v� ,c� <br /> , — /1G.�/ � ,���, <br /> � � F.r!,/'''�. ./,. <br /> � <br />