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EVEREiT, WASH. <br />The Undersigned <br />Hereby applies for permission <br />At the following location ���_�-L�� � � � <br />SKETCH <br />IWork to be donel <br />p_ ��1 <br />/ � <br />��a��►��r., S� <br />The undersigned owncr herehy agrees to hold and save harmless Ihe City of <br />Everelt (rom any and all claims for damagex ehat may arise because of Ihe <br />installalion and maintenance of the impmve.menl hereto applied (or ond <br />further agrees lo remove same upon nolice from the City and to replace all <br />public property damaged thereby. <br />Inspeclor's Signafure <br />� y � <br />. �/%F � /���i(_',�/� /� �i 1% <br />Dafe <br />a � ;,`f�... <br />PROVIDG FOft <br />Gall fnB�neering Dept. ��9�g863 p(�0?ER DRAINAGE <br />24 Haurs before <br />construction is started. <br />�:' xco b�� p N <br />_ . _ .._ _' tiPProved dy _ _...—_ <br />,rJ .� —.: <br />,=-���vs,-,<:_ �!�, : <br />Dole App oved <br />.� <br />� <br />Variancc Required <br />Yes..... _........._.. _ _.._. <br />No .......... ...... ........ ... <br />//i%'....:: +�� .rfj l�", 7�' '.�.._.... <br />Signafure of Applicant <br />J �') C�i <br />,( , l i + <br />o .i /. /i.a._.�;:l./., c. ..-� ..-J -J' .' ^'�',.- r <br />Address <br />�S � - .�? _�:'�r�`� <br />ielepione Num6er <br />��^�ale �/ <br />s �VQ ��� <br />Fce <br />Engi�cc�;,�.f"* ��l',�� �% <br />�:1 p:_ i : <br />r�.d�..�Wa�Ef � ' <br />. Slreel� �• �.. /� �-�' �� <br />Communica}�ons ! � ' "� �' � " <br />r' Twlfic_�1 c.F� 7 `�' /� � <br />Planning ��%�!� <br />�e <br />a <br />�,, " NO'TE <br />� CHECK WITR VJATER <br />DF.?T. FOR 1NATER LINE <br />f iiC/:-ln�� �S g'FCRRE ['XCAy�.Tlfif��; ` <br />