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EVERETT, WASH. <br />The Undersigned <br />Hereby a�plies for permission <br />I��D�hN <br />� � �� _�r, Q i', r <br />At the following lomtion �G� — M�� D�'s� /�J <br />SKETCH <br />(Work to be donel <br />� � <br />�� <br />C�N� <br />— --- —APproved By <br />D S UJ <br />y�F; ,���°s ep"� `:s=;a;. <br />} � �' ;x 4 i,'T <br />"1'"! <br />.. . L�.:, tl_:" <br />, r \ , i � J, -..-.---- .T <br />The undersigned owner hereby c�grees to hold an� save harmless the Ciy of <br />EvereM from any and all c�oims;for damages Ihat may orise because of the <br />installation and maintenance of ihe improvemenl hereto applicd for and <br />furiher agrees b remove same upon nolice from the Gily and fo replace all <br />public property damaged ihereby. <br />inspector's Signafure <br />S//� C f�/_S—CiNi�..�� /��Z�� <br />Dafe <br />%��OPK �. Uti%�!r TFi) %�.' rCr_'r�. /?�F1/Nl'/� l'�/AS' _ <br />Remarks <br />�-�!F�.G'iC���/�%% <br />0 <br />' R�.�r_. <br />CIIE:'!; N.�I'i FI 14!"; i t:" <br />� ��r'��. ��.��i �n�n��'i .. .. <br />� �'.i'.;.i�I!i'�i:. . . ... ,,.r�^�� <br />. : r <br />i;�:';.:t��i' <br />v ,�z.,�,:� <br />. i �' <br />r�, <br />9 <br />Date <br />Variance Required <br />Ycs....__._....._... _._. <br />No.............._._ __.... <br />/,t� � <br />�rr,i �Lii L e Q �-J�, , <br />.r <br />, <br />� .Tl��� Mc2Rn� <br />Signature ol Applicanf <br />�l�Zc'�' M/�DisnN <br />Address <br />Telephone Number <br />Dafe <br />S /�i� ��� <br />5�u-' <br />Fee <br />DEPT. APPROVALS <br />Engineers ��'�//Z'�*��/�/`""' 7% <br />Waler ��-,T._ i, %��- i� <br />v -- <br />Slrccl <br />- '� ...,.:�_ . 1�.._ <br />Communic��� ' - - <br />Traffic �� � <br />Planning -1��-� <br />i:c,���.�.�:_,c��; :`_; . :�;_ :....., <br />_, ii_.., b�i,..� <br />Construction is staited. <br />