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_' " 1 � <br />Penr;;r No...~�_. . %; <br />/-1f'��L��•�iSk�� �"��i i{�C�v��r��Y ��C�tfr'1:� <br />CITY ENGINEERS <br />CVGRE?T, WASH. <br />� <br />. i �, ���, i. i � .� <br />The Undersigned_ / � ,_ � -- �� ��- ;'..'` �1.�' <br />Herehy applies for vermirion <br />At the (ollowing <br />SK[TCH <br />(Work to be donel <br />, f' ��,,,�-� i'�. .� <br />�'S /- , i . � �.� �1_ ' �..�+!.a::- <br />-�" <br />j��- �i-�— <br />�?�' s.; . ��� V �•, 4�� � � .% , a <br />------..__�.._.,.__... ___..._....__.___. <br />---- ;:z , <br />�:..� � , ' <br />,�_ ; ,',� <br />^ - �.'�,,f _i . ._, � _-_ <br />: ... . .._ , � � " <br />% /) �+ . : , <br />��)l•F�2\h".C.;a �f. �_ it'Ll �_: ..'. <br />A{tQro�J 6y <br />l�•�k'C:iP'�(Yl/.?�:Y �f.� �i`tic` ` <br />Dalc Appiovr.d <br />�.r�'. J .-f �L'�-LLCC' �I L'I - � O <br />�, ,, , r <br />( .. . ��r:i . . <br />The undcrsigned ownen c�reby agrces to hold and sove 6ormlrss Ihe Cily of <br />Evr.retl {rem any and all claim� for damones tha� rt:oy nrise because of Ihe <br />in;tolletion and maintenonce of thc improvemeni herclo opplicd for nnd <br />furl!�.or ngrcef fo remove samc upon r,oticc Lcm .he City and ta reploce all <br />pu6f.c properly dumeged :hcreby. <br />� ��J{'Z���.^.::.i{ . � /�lr/�-� <br />� � U . <br />r `�'r�` � <br />, <br />_.i.r .��.-i.. _ �,:..> <br />Inspr.dm's Sipnafuro / ' <br />r J <br />' �/ <br />/� � �": <br />�- <br />Dote <br />Rama: �s — <br />Vr.r.ancc 3cquired <br />Yes <br />PJo <br />Sipnofure o( App;iconf <br />Address <br />icicphane Numbor <br />Dolo <br />b <br />Fec <br />DEPi. ANpROVA;S <br />,�� � , ,. <br />� `' � � <br />Enginccrs . � A-'i �, ;�� <br />�r��Ci..r �'. .�'.—y-,_}-'�T.:. _ <br />