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�' .:'f l: _ i <br />EV�RETT, WASH. �d , APProved ey <br />7he Undersi ne� � ^! � ' " - �'��l� ,c'� /lf'7/ <br />g Date Apprmed <br />Hereby applies for permission to - A = " �.-r_ . ��• :_ �, - �T y !' . , �- : -1 - <br />� — <br />At the follo���ing location_�- % � 7— ' �' ' '% L. ' /� <br />�-� <br />SKETCH <br />IWork to be danel ' ) ` -_ ' <br />�,���� . <br />, �` <br />The undersiyned owncr hereby agrees lo hold and savc harmless the City of <br />EvereB from any �,nd all claims for damages Ihal moy arise because of the <br />installalion und mcintenance o( the impiwemenl hmeta applied for ond <br />(uriher agre^s to remove same upon nofice from ihe Cify and ;o replace all <br />public properlv damaged thereby. <br />Inspecfor's $ignature <br />�S/TC f�/EL' -/i , °' / <br />Dafe <br />Remarks <br />Call Enginewirg DepL 25J�8503 <br />24 Hours before <br />construction is started. <br />ALL�Y <br />Zr <br />' NOTE <br />CHECI< WITH WATER <br />Gc?T. FOR tNATER LINE <br />IbCAT10N5 QEFORE EXC <br />\ -- - — ---_ <br />z� <br />Z3 z.� <br />� <br />Q- <br />U-� <br />i L" <br />.�- <br />I �-L <br />Varionce Required <br />Ycs_.._.____._ __. <br />No_ <br />Signafure ol Applimnl <br />�/. (� . <br />Address � <br />=� r.. _ i r � - <br />Telephone Number <br />i ;'j <br />Dafe <br />_ s NC� FF_1- <br />Fee <br />DEPT. <br />�Enginecrs <br />Watcr � ��fJ...(,ir� . <br />Strec� �` L <br />� Communimtiyq���� <br />� TmHic —t� � �-- <br />Planning � �: . <br />\I PFiOVIC� FUR <br />PROPcR DRAIfdAGG <br />