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�.ITY :.��l�:ll�r���._. � .j��r=,: ' • <br /> EVERETT, WASH. � Approved By <br /> ,/Z' /� N �, l�/iT.� <br /> ��� _ .. � . �,. . . . ... , Datc Approved <br /> The Undersigned � � — — <br /> Hereby opplies for permission to -�'-1`1SlALL_ f-� i D � I'i�lU <br /> At the following location 2 �� � �� G�� N L/%<� /, '/7 A[/� . <br /> SKETCH <br /> (VJork to be done) <br /> � OMBtiKU .q '�-� . <br /> �---- --— e . — ---_---- . <br /> _ ,o' <br /> ____. _.__—__.._.__. _ .. _— • —_..___.._._'__....__—__._ <br /> i <br /> I— <br /> II � <br /> � O <br /> m � <br /> I Nn i � n � <br /> � ti v ti <br /> � I I <br /> � ' �t� I , <br /> 'I 1 <br /> t <br /> i <br /> � <br /> i <br /> ' i <br /> Thc undersigned owncr hereby agrees to hold and savc harmless the City of Variance Required <br /> Everett from any and all claims for damages Ihat may orise because of Ihe Yes ._ .. . .. __ ........ <br /> installation and maintenonce of Ihe improvemenf herefo applied for and No ._...__.. <br /> further agrecs lo remove samc upon nolicc from fhe City and to replacc all <br /> publi: properly damaged thereby. <br /> �i / <br /> ,�_C �'JA . '� L�� .:i iC�. �. l <br /> JSignalure of Applicant <br /> '� �U�'. —'� ..�'„�.t <br /> � r r,. <br /> . ,.. � Address <br /> � ., '_I � � �' ,C - `_"--' _: <br /> ' ��� ielephone Number <br /> c:_�— f-.-, i 1 -_ <br /> � � � � � _ <br /> i� ' <br /> Dafe <br /> f.:�a i <br /> 1 !/7 <br /> Inspecfois Signaiure _ � 7 �� —� � r� � �-� <br /> Fee <br /> s,r,:_ ,�i _ ;�1z�-- <br /> Dale <br /> DFPT. APPROVALS � <br /> �3'�� ,- � 3 �� <br /> Remarks EnginccrS_.� ���� ' � /' �' � <br /> Water ��r..�_ 3- � ' . Z- <br /> Sireet """�-�� <br /> �—;.+- <br /> Communica�l' '��!����'=? `'..J" - <br /> Traffic r��'' • ` � <br /> Planning ��' - — <br /> � � �- . . � . , . <br /> „ .. , - <br /> 1 Fl f� l..lilit Lli, _ '�.�, . . .: _:_ <br /> �, , ,. :CA\'i�.T}��M <br />