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�--- - vi�� '' C��.�=�-.� � <br /> EVERETT, WASH. A o�ed ey <br /> �� -' ADri � 1� , (Q(o� <br /> r <br /> The Undersigned �-� ��l..j���� ' ^ T Date Approved <br /> Hereby applies for permission to �i��''.-�J' ' � � � ' "�'`i -/ %�, ' -'%' <br /> � <br /> /' , <br /> At the following locafion�-. � ��—� � ��//��� ' � —�'_� ':�' _"+ . /;' /=' . . <br /> ��le/ �t <br /> SKETCH <br /> (Work to be donel <br /> L �,L � Y �/ 1/ G f V G..J � <br /> ----- <br /> ----- --- <br /> �.-- <,.6'--s <br /> __.__.. ___ <br /> '_._-�__._. __ _Q/._..__ -- <br /> .._. . _ ___ ' _' .a�.., ____— <br /> dn .�n � i <br /> 7• <br /> o � E--- ---- _ o.�.��•� _ • . , <br /> �r n ,. . ' _ -- . <br /> ♦ . � ^ � ,. ` . „ \ . - 3g <br /> � �� f, i �1 r! W i <br /> � �1 ` . M <br /> ♦ � � : � n (�� <br /> � � W <br /> i � <br /> '1� Z7 2/v 75 � 'Ld + ?3 22 1l 'Zp 19 119 17 � <br /> � j i1/O E /. � <br /> � G'LJ.. /J �' i ��i'��:�t_:;.i� <br /> � �Y o�.a � �v� FNinr ✓a . G;1 <br /> � y <br /> ;-�� .. . <br /> ----- � - — 35� <br /> � � � c Y <br /> ---- --• --- - -- ---- -------- -- I <br /> � <br /> The undersigned owner heieby agrces �o huld and save harmlezs �hc City of Variance Required <br /> Everett Irom any and all daims for damages that may orise because o( the Ycs__. <br /> _...... .. ... ....... <br /> insta lalion and mointenoncc of }he improvemenl hereto applied for and <br /> fur�her agrees to remove same upon notice (rom the City ond to reploce all No...__. _ _.....__.. <br /> public property damoged Ihereby. <br /> �: - /. . � . .,_. <br /> �I <br /> •.r-. Signalure ol Applicanl <br /> ,� , � <br /> Y� <br /> Aad.es� <br /> � J �- <br /> Telephone�Number <br /> � � � .�� i ,� . _. <br /> �� , l <br /> �J� i�� ` . Dafe <br /> ;:��� �,.i w-n-�-c- n <br /> IAspeclorrs�5ignalure ,1/�. �EI ;f_-.r.- '�i F>��� i' -,. <br /> / 9/9 Fea <br /> � <br /> D`ale <br /> DEPT. APPROVALS <br /> RemarMs <br /> Engineers <br /> Water c' . lI/aXr" gsr_ n <�t ) � <br /> Slreet <br /> Communications.���,�d�"J :'.<r'`< . <br /> Tro(lic <br /> Planning <br /> 1! /F SEr2viCE /5 TO f3! L'.vdn/E,Fa <br /> /s�;; TG /3E !,� NE' ,R1T �'N� E{L/�ENSE �, <br /> �'F T,�{� r'!<':�J :',� ' <br />