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___ _ — ; <br /> EVEkETT, WASH, npp�o�cd i3y <br /> ' � �`%q y�� /ti'%': <br /> The Undersigned -"�'�� � ��'�� Daie Appro�ed <br /> Hereby applies for permission to �"� � �S� �2 �� ,' 1 i �%��'% '-�1 r/ I�j—f :/ . E � I <br /> / � , <br /> � , , -,r�� <br /> _ , ` <br /> A L f II ' y I �� � �`{' Y� '�--'' 'f I <br /> SKETCH I <br /> (Work to be donel — <br /> � <br /> � <br /> w ° - - �I <br /> � I - �� ,` � <br /> � ' ' ! 2, %i <br /> ,� �,, �a ; �9 � � <br /> ; <br /> 2' �' 2 I I � <br /> o � �,� ' <br /> � �' --.. <br /> � -- <br /> i � � ----- <br /> _ _----- <br /> cv � � � ,._ ._^-_-___ -_�,. =�,o , <br /> N ' Q6 �_ � <br /> �� � I �2 ' Nic�/ c�-/,4i�/ �' iMK' <br /> �_____ - - --__ - <br /> �oM _F3AR't..? .� V�`- <br /> _ _,_ <br /> _ ___ ,_ _ . <br /> -_= _ _---_, �-- - - _ <br /> \ <br /> , <br /> ,I , <br /> The undersigned owncr hereby agrees to hold and save harmless the City of Variance Required <br /> Everett from an� and all claims (or damages that may arise because of Ihe Yes...__.........____.... <br /> installation and maintenancc of the improvement hereto applied for and No.._.. ._ ___.. <br /> further agrees to remove same upon notice from the Cily and to replace all <br /> public propery damaged fhemby. <br /> i'�; /. /��'�, ��' � �, <br /> • - , �<s' , , , ._ . _ ._ <br /> ¢�' % � "�1 i, ' � � � � � � Si nafure of A hcanf <br /> . _ <br /> _: <br /> . . ;/(G!Ll�G(,�Oy �C.' G��L� .�I .L/�.� t�`�Cn=�::'-:: 9 PP <br /> / - . <br /> ' • . /� t ' _ , i ,. <br /> , . - ..`; ._; <br /> � �� c'/4 �"� ,� � G �� ( � ,'- L �1.�rG-� :. � � � <br /> - ' f �� Address <br /> (."',�„ . ,�, r'_ ��_ i' <br /> . _ . '..� � ��- — � ' .) w <br /> � <br /> Telephone Number <br /> i�l�y i 3 if���� <br /> � Date <br /> Inspecfois Signalure 5 <br /> Fce <br /> �_T� �f�/c'�.c�/� `��F��7U <br /> Dafe <br /> DEPT. APPROVALS <br /> Remarks Ennineers�/��/`��?���'U=/��' <br /> -'�- Water /�� .f'' ��'14; <br /> S��CEf �� C� _: �.r�,�� � _.__ . <br /> j <br /> �0f11fiI1101C4�1Of12-� � "'���� <br /> TraHic �,�1 y �/ . <br /> Plannin� � /l�l��i;!- �i < <br /> -�S <br /> � <br /> - ��� <br />