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L <br /> Pe:inii No. .. _ ._�. .J�..�........ <br /> everett <br /> e e�� ��� ri�ti �CR C�R11'E�VA i PERivii i <br /> �1 fL1�..M11 1 1 <br /> CIT1' ENGINEERS ,y'/- , "' � � <br /> �— ,:i� �`�.�?/,-.,�G , <br /> EVERETT, WASH. 1 Approved ey <br /> -, —. , <br /> ^ G'�GUS,; .� /v i i <br /> The Undersigned " C J ��/ %���> Da�e Approved <br /> r � � <br /> Hereby applies for permission to n �1�� S"�,� � �� �J/�1 � <br /> T <br /> At the following location_- �� � � �IAAt� U S t7 !4 ���0 C Cr' <br /> SKETCH � <br /> v <br /> IWork t� be donel � <br /> Q. <br /> O <br /> � <br /> S <br /> ¢1 <br /> � �. <br /> �/ eo. �� <br /> �� � \�r <br /> / � <br /> � ��2� \\ <br /> �/ <br /> 39 <br /> I 3� `�� <br /> 1 <br /> The undersignad owner hereby agrees lo hold and save harmless Ihe City cf Voriance Required <br /> Evcrell {rom any and oll claims for damages Ihat may arisc becausc of Ihe Yes.. <br /> installation and mainfenance of the improvemenf herefo applied for and Na ��_�-`�� �����--��--��""� <br /> (urther agrees to remove same upan nolice (rom the City and lo replace all �- -�----�----- <br /> public property damaged lhcreby. <br /> � � �. � ��� .. �����/ . <br /> Siqnalure of Applicanl <br /> , � - <br /> _ �� '_�� � ) / �^[,�Ir/lt: •,i <br /> - • add.�:� <br /> ;� . <br /> � ; ; 5 �i 'iiC <br /> Tclephonc Numbcr <br /> j � j .� _ � : ; <br /> Dafe <br /> Inspeclor's Signolure 5���'� �../� /�r �'r�l <br /> �—'7 �/ . <br /> � / DI�1 Fee <br /> >;T�_ �,ai^�.�i=r=':7 G�7ii' i->. � � <br /> Dnlc <br /> J t <br />