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The Undersigned �_�=J'�-� _'.'-�-e'�;�' f �' '- <br />Darc Approved <br />Hereby applia for permis:ion to '!� '``�� l'��rf t r7.�' _- _ <br />Ar ihe following <br />SKETCH <br />(Work fo be donel <br />, : r; <br />� <br />y`G � �•- r r�x <br />..: _t-��,., o.,s � <br />%� � <br />� �'f! ._:: � j .'Y �"'L <br />34 <br />� C��/" L�/� <br />`'i,''u,�- <br />':.3 <br />— � e— <br />r .�-� <br />The urdertigned owner herehy agrees �o hold and save hormlest thc C;ry of <br />Everett hom ony ard all cloim� for damapes fhol may ari�e because of Ihe <br />inctallation and main�e�wnce of the improvement herero applied for and <br />funher aprees to nmore �ome upon iwtice irom the City and la mploce all <br />public property damaped Ihereby. <br />- � -� <br />);2 �,...� _ c� ..� _ sl� <br />Imp�d« � $ignown - ,f • . <br />�� / S - f � � <br />� <br />�d r � <br />yr • <br />t-!`.:=f <br />�: `.•'N <br />��� <br />_ '�f, <br />^=A �::-�'I� i <br />Vorianca Required <br />��7 / .� f ' /Y Yei . ... _ _ .. <br />'lG'� Ll�C..,i�i. :-G7�_ Na. _ _. <br />�-f:-ceKlef•����iCi y.�.ns <br />�rk.� . <br />�� Si n ure ol Applic t . <br />�� <br />� � � <br />Addre:t <br />C06f'I c,,� <br />fr�! �'--�� -•�.S'� OR3� <br />ial ph e Numbar <br />bate <br />S <br />fBB <br />�EPi. APPROVALS <br />Engineers V"�'��'�� <br />n � <br />WOIBf L ', ,�77' � " <br />Srecl � �,/: t r J_ 2'�tf. �� <br />Commvnicolions � � ��j.,W:p- <br />>i1;�' r <br />TmHlt ff� <br />Planning .� ti. ri. <br />6 <br />� � m <br />O M <br />N <br />� � ¢ <br />o�o <br />� N N <br />O � � <br />� � � <br />H <br />H <br />N <br />00 Cp'� <br />O N <br />