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nKITCH -- -- -- - - - �� { ' <br /> — — - - -I. � <br /> IWo•k to be donel ' --�-�-- - � � I i <br /> � I <br /> ( <br /> 1 <br /> I _�z / <br /> I <br /> I <br /> � 10 �� �z �'g �� �CJ 1Gs 17 � �B I� <br /> 'n I I� <br /> �� <br /> ' 25 26 g.S �5 2S 25 25 � 27� � � <br /> _ . ._ — °'n . � � '� <br /> �e�.'. I <br /> CoNG, �/C;YEl1/.47" '„"• ' � <br /> �° � I � <br /> " _ "___"-- '� " _._" "__---___ I <br /> ^ ^o`.' ___—."__. <br /> . _ . _ _ ____. <br /> -f?EMUVE " Fi'EPLA�E Er�/`-�?�/NG �� I <br /> A,.i' h'-= �CN `:;'r✓ e CcrJt. C::l�: Y✓i.n. GCrr'G, � <br /> —____. _.'.C. <br /> - -- KF�oM E.� I <br /> --.-__:=r��--r <br /> I� <br /> The undersigned ownen c�ichy ogrees to huld ond save hamJess tne City of Variance Required <br /> Everett from any and all doims for domages thaf may arise bemusc o( Ihc Yes___..... <br /> insWllation nnd mcinicnnnce oi ihe improvemenl hereto applied for and No_......... . . <br /> (urlher agrees fo remove sane upon nolice from the City ond b reploce oll �" �� � <br /> public property damaged fhereby. �y. <br /> •�� J <br /> / / %i 1 J <br /> /��/i�' ..F �..!.� . �q � �� ,.�-. � <br /> ' � / ,�i�:1-1�"i' /}�r-v ' l-.. �.. � <br /> �-��' `���v '� � ,/ r/�` � ' S��nafure of Applicanf � .� <br /> �!.�,o.�rel$ <br /> l>l;' n�''i (,�,,; .._fY�. / L�S/ �o _� `� � ��-- �'c�' <br /> ! <br /> ' 4ddress <br /> �ri� - �'r '7 fn n _ <br /> ielephonu Number <br /> �,/�7��� <br /> oa�� <br /> Inspeclor's $ignalure $ <br /> /`/�G[7 C/�i� "� `3i �s�_G7.� <br /> Fee <br /> Dafe <br /> DEPT. APPROVALS <br /> i ,' <br /> Remarks Engineers : �3�5'�7� <br /> Watcr �- <br /> Streel — <br /> �- , 1 , "}� <br /> CommunimFions�; <br /> Traf(ic — <br /> Planning <br /> SrV,'i _ ,� r �- =)',e�! <br />