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�VERETT, WASH. Y nppro�eri ay <br />�. � - � �� <br />� � � i=�3i�ti �� �_ i� i'� <br />The Undersigned_i.�� L L ElSH �4�i� Dare Approved <br />Hereby applies for perrission fo COnJ s'T, /�} [_' ! T V =.7-A rJ �H iz D �(.�i <br />At the foliowirg location �z�' M�d�.SO/c� � _ <br />The undersigned owner hereby agmes to hold and sovc harmless the City of <br />Everetl from ony ond all claims for damages thal may arise because of the <br />installafion ond maintmiance of Ihe improvement herefo applied for and <br />furlher agrees to remove same upun nolice from the City and to replace all <br />public pwperiy damaged thereby. <br />Inspecfor's Signalure <br />�`� /T/_= C//ECKc_: � //� i <br />Dole <br />Rc.narks <br />�..___.._..'___'—' <br />' PROV;C� FOR� j <br />j f'i;0� E ; .':��;;`.I���AGE I <br />� <br />� i'�i�"i � <br />CN�CiC 4'J{TF: WA7Ef: <br />!1'F"(. F�R \';:�7FR LIIJE <br />, .� t',,r. ..Y,.,^,VATlili� <br />Variance Required <br />No ................ . ... _ _.... <br />�:L 1 � - . <br />� _ <br />� �. _ � <br />Signafure of Applicont � <br />i / ,, � /%%fl �ii,: � � <br />Address <br />Telephone Number <br />Date <br />� l� (� 9 - F� i. '_ <br />Fce <br />DEPT. APPROVALS <br />r � <br />Engineers .-�`�-�<�'"������ �� <br />Waler � ��....._ T l�- /% -' `7 . _ <br />Streel <br />Communicolion: ��.�.����--•--�5�� -� ��' ` <br />Traffic �" ' <br />Planning 2 %-� � <br />C�II En, ,�e�ri�t^ 0�;;. :.. 'li3 <br />?d EiO;IC� Ud(OId ,.. <br />constn�ction is st.rcc.u. <br />