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'AY PERMIT <br />ti <br />f <br />CITY ENGINEERS; <br />EVERETT, WASH. <br />The Undersigned ��A %. Date Approved <br />Hereby applies for permission to T 1%el t <br />Tc� j`:P,)Ar—,( -7V 2-14, <br />At the following location 4-1 32- <br />SKETCH <br />(Work to be done) <br />�ED�R.9L 4vE <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from ally and all claims for damages that may arise because of the <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove some upon notice from the City and to replace oil <br />public property damaged thereby. <br />Inspectors Signature <br />.SITE Cr/FrrE/) 9�9/70 <br />Date <br />Variance Required <br />Yes. __........_._....... <br />Na... ...___...... <br />�S;gncrfureror A;i(9iconf; - <br />f%/ 3 AddreA <br />el <br />Telephone Number <br />Doti <br />I« <br />DEPT. APPROVALS <br />Engineer( <br />Water <br />Street <br />Communications <br />Traffic <br />Planning 42, <br />