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EVERETT, WASH. <br />_- -- -- - --- <br />A�pruveti Ev <br />�� �� <br />r�-/.4� i �s �` <br />• - � _ L� .j i - , ,^ `, ---- <br />The Undersigned � � %� -" C_ , a '. �(_ ' / ..: `.� i :, (;,J __ oate AprrOv2d -- <br />Hereby applies for permission to_ �t�' �� � � � � �r (' ! � �J. "'�' �i r_• :�� .*f U � ���1 � <br />At the following <br />SKE <br />(Work to be donel <br />� <br />��� �' C�i 5 Ol-� <br />The undersigned owncr hereby aerces to hold and save harmless the City of <br />Evcreft from any and all daims for damages that moy arisc because of the <br />installa�iun and maintenance of the improvemenl herero applied for and <br />further agrees ro remove same upan notice from fhe City and to replace all <br />public property damoged fhereby. <br />inspecfor's Signafure <br />/ <br />_ �J%.%s�ir�-�,f- , L� 7/.?ff'i'7/ <br />Date <br />Call Fnginccrir�g Dept 259��803 <br />24 Hours before <br />conshuction is started. <br />i:.. , <br />. _ , i <br />r <br />S � <br />i 'r'ROVlDE FOR <br />+ PF�Oi'cR DRAINAGE <br />I <br />i <br />1 � <br />� <br />� <br />Variance Required <br />Yes................ _._.... <br />No_.._.. _. _ .... ...... ... <br />C; � � ; <br />�,�r ,�,k :.� t., ,_ ,./c ; f . �.,�; <br />Signafure oF lpplican <br />% f� � �� ""d-��t-,C_. J -!- . <br />Address <br />��� � �.� .:' . <br />� V <br />Telephone Num6er <br />��� �, , <br />�Cf ,�i,. <br />�I^� Dafc <br />$ N O �� , <br />Fee <br />G7�:/<J/' / •> <br />worer <br />Slreel. <br />Planning <br />'ti'•lG�E <br />C;-i'"."t< `%; ff H 1'!A iER <br />��,.. : .-,�t` l;'.4TER Lli:r <br />� � � � :-r.ilf7r ��;�^t.•:'ATION <br />