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EVERETT, WASH. <br />The Undersianed -�� �%= - - � <br />nP��o�� oy <br />Dafe Approved <br />t <br />Hereby applies for permission to � .�t� � � /�l � - �- � ����`�,� � �%✓ � '� '�V ,�/'�N% - ��r'"- �j%- '1 <br />_ , , • /.� <br />At the following IocationM _ <br />SKETC!-I <br />IWork to uc donel <br />' '� -r � <br />.�o� <br />�� �u�� _.;� <br />�`" �� <br />� <br />/ i <br />�. ., W <br />_, ,� � ,- � . <br />/ � <br />P <br />D� j' <br />�RpP � <br />i �y � <br />�N�S <br />5 <br />pt% <br />h�/ i� <br />�` <br />/L <br />Oh'/ VEYf.a i '" � <br />The unde�signed ownen c�raby agreas to hold ond save hornless the C:ty of <br />EvereR from any and all daims for damages that may arise because of thc <br />installatian and maintenance of the improvement hereto applied for and <br />iurther agrees to remove same upnn notice from ihe City and to replace all <br />public pronerty damageu Ihereby. <br />PE�:��I,�i �/ar- /ssvr.�c� <br />�� B. L �.� ��..r �'� �/o r-- <br />P�c.� C/l; ���: h'EQ���:: . J <br />.QEF��=�:� .A�:EF�7;'N�; �/T�' <br />5..��- .L�rT�,�? T � B. <br />No v;�..��.s� /� /9io <br />Inspecror's $ignalure <br />/'"/Q.2.- � .';.'. <br />ORiVEWA)' "'.: <br />il/O; E / : <br />S:== ,=c,�i'.1rT�.��7�: <br />f0,4 U.�ivEvv�?'��5 i;', <br />1�are 2 � <br />SEE PERM !T 3�LQ7 <br />FOR r,ellFFic is %�1 iv'-.:%, <br />POLE RELOGA ''i<"�i✓, �.:- <br />rOti�C. CURfS, �._ �_ . F _,;. <br />l�f�'�';'�Y..'/.' ' _ <br />ui ?� <br />� — �F/LL AREA ` <br />J �i <br />H <br />� ,,i <br />_ .� � <br />W <br />'z:�� . �; <br />J�'-rH�a�,_ �or_. rrr<'eac.� vr��,.,a�:�= <br />L.�-s i F ..,c�cao. <br />.} ( .,�: .i_.� <br />=.��: �t <br />�. <br />�%i�.�� <br />��11�/�L �/y�l" .:s=./.� �' .�.Z U <br />Dofe <br />R�murks <br />; cll E:�; ineerin� Dept. 259-F803 <br />2d Huurs before <br />�:�'�fr:�ti�:�n i; .=,t::rted. <br />CF�OSS SECT/O�� of <br />�%� � A /r'EA <br />Variance Required <br />Yes.._..___.___. _..-- <br />No. ....._ _..._.. <br />Signalure of Applicanl <br />Address <br />Telephone Numbar <br />Date <br />5 11/� F€� _ <br />Fee' <br />DEPT. APPRQVA <br />� ; 7�� o <br />Enginecrs� __ <br />Watcr �.._ �. �_ 1_. � ..�.;:.-: <br />* Sireel .r',1=, /., G-t.c::.� �7 •-1^� . <br />Communimticns � �''' <br />�T�- �"—`=�_.�_ <br />Tmffic � �' �"' <br />Planning .��f /� <br />