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EVERETT, WASH. <br />The <br />� <br />� � � � �—_--%aPProved 6y <br />.> . <br />�1 '�/Si / i, /% %- <br />Dole ApproJed <br />Hereby applies for permission to � nN 5'f. (� � �'f' ��7� n<< r� �D ln oj '.T,�,l ? <br />Af the fo�bwing location. -� �' � �'l n' �11 `' f` �"� <br />��� FI -(- <br />SKETCH � <br />IWork to be donal <br />The undersigned owncr hereby vgrees to hold ard save harmless Ihe Cily of <br />Everett from any and oll claims for damages Ihal may arise because of the <br />insla!lation and ma�Nenance of Ihe improvement hereto applied for and <br />furiher agrees to rernove some upon notice from the Cily and to replace all <br />public proporty damaged thereby. <br />v�....r,�r: _-sc�r <br />( tdb'.:"�: �C R L F_ � <br />„ .1 <br />k� �.� _ E �� <br />�----- --_� .� -. _-._�_,--- 7 v <br />"�.:a `� � : <br />is <br />�:;-. ,. -_ �"1 <br />Inspecfor's Signaiure <br />. � <br />`�ii F C_'i-�r` ���rL=i) C��.J /?/ <br />Dafe <br />Czll Er'�ginearin;; Oepi. <5:13(>O:s <br />24 Hours befora <br />r.onsiruction is sl.�rted. <br />/ <br />J ! : <br />� PRO'diDE FOR <br />I P���:U�'[R DRAIRFlGE <br />I----�_ ___.._. _�..�I <br />�--3 � <br />\ �„_ �^�� <br />Variance Required <br />Ycs__..___...___..._. <br />No___..........._._..... <br />� <br />�liv�� . ;f- (/, l,�._�;.:. ,-. <br />Signafure bf Applicanf <br />3z� �rj�.�, �> ' � ^. , <br />;, <br />Address <br />� ? �. � `�% `: � � <br />Telephone Ni�m6er <br />L <-�-` +"' �. 1 -7 � <br />( ~ Dale <br />$ l�� C� I`e �. <br />Fee <br />DEPT. APPROV <br />� i <br />_ , j i -, <br />Enginecr "'� �' � � <br />J �i ( � <br />Wa�Cf - <br />Slreet %%�.:....�. /„ : �... <br />Communicaliof s �J���` � <br />Traffic /� cr.�..'�" � <br />Planning �� � � <br />` P;c7"i";_ <br />�:11=r,K WITH WATEIZ <br />��':''T, f OR NlATER LINE <br />l.� ��_', ��I )::'; E3E�(1Rr cyrP,VAi"li)?J <br />