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EVERETT, WASH. <br />The Undersigned J � Y�f - � " `'� <br />'�— Approved By <br />r—///IYIC�% �� /l%%� <br />Dale Approved <br />Hereby applies for permission to � l�ln 5'f' (�i ��� � S ��e .����, i r1 N �C-D ^. V i S'� .1 1 i� /�� f�u� <br />c� �''��,uvE'oce_ P_xi,_�� �.n�nc. .r��., txii{���{'��-�(�`.. <br />At fhe following location �� ��,"�'�" ` ' ` -^'' <br />� �- �: 7 C' � <br />— l�� U.)'b <br />SKETCH <br />IWork to be donel CA� <br />_\ <br />�� <br />o�j" <br />The undersigned owner hereby agrees to hold and save Iwnnle Ihe City oi <br />Everett from any and all claims for damages thal may arise beca of tNe <br />installalion ond maintenanre of thc improvement hereto applied And <br />(urther agrees lo remove same upon nolice Irom the City ond lo replace oll <br />public properly damaged ihereby. <br />'-� wnr:.-��.SSC <br />txv-_scAcr) <br />�� <br />' �n <br />~ �' �--�._ . <br />' a"....-----�. <br />Inspecfor's Siynolure <br />SIjF C�h�E-C.Cf=� ��ln/7/ <br />Dafe <br />Remcrks <br />. 61.. . <br />1 "_ 5 � <br />Variance Required <br />Yes.............. _ _ _. _.... <br />No....____...._......_.. <br />X ' ...�.,r/ r'��,i .,�'i/.r.t','�.oi <br />-' Signal�re of Applimnf ��� <br />/// ::� <br />� =�,;t.-�.i %_ /' '' s .4�1 <br />Addre�S" <br />. i _ . . �� , i � - �� � <br />� Telephonr. Number <br />Engineers <br />W ater _ <br />Street ^ <br />Planning <br />— :_%—' % <br />Dale <br />S �S� c� � �� .� ��%7/ '��� <br />Tf'� <br />Fee <br />DEPT. <br />Cai! Engineering Dept. 259�EtiU:; NI30VIGE FOR " �y��.� <br />24 Hours before f'f2UPER �RAINAGE , c!-+ectc wmi v��r�_;� <br />ecnstruction is siarted. �'-rr. F�<i v;nr�;; r_;p;;_ <br />� ',:��ir,;y� r�r_�"i>r. i.�cn���,norv <br />i-------_.._ _.__..__. .__ M____. <br />� <br />