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!,t �i e fo!;r,v:ing �ccai���n -=- •-- —�---_..__�__ . <br />- — -- ' - <br />--�_ _ _._.-----_ - - ... .... _. , . . .. ...,_. . . ... .., _.. <br />SKETCH <br />(Worf to be donel <br />,� �� � <br />�i-�f'_ i� <br />�e <br />f� <br />� �__� <br />� ' <br />2 `, _ .�_, � <br />�� <br />� <br />,�, <br />.. _. er:i^yr=d owner hereby ogrce: lo hold and sa��e harmless Ihc Ci�y of <br />Evcrett irom any ond all d, ime far damages ihol moy orise ocmuse of Ihe <br />inztallation and meintenanre o( Ihe improvcmeni hereto applicd for ond <br />furd�cr ogrees to rer.,;.t ,ame upon notice from Ihe City nnd to reploro oll <br />public property dar�,aged �hcrc6y. <br />� `� <br />_1�.y3.....� ����.n-. ,� <br />Inspecror's�Sfpnaturo� , <br />r <br />, `I <br />�-�o .�v C:,, <br />Dole . <br />Rama: ks <br />:=; <br />�_,�ti�a� r c-L, :���- : <br />��: �% ��" <br />L��%-1-:1 ^'._./ . %'/� J�%�' <br />�` u <br />.�/ ,_t� <br />/ /L" <br />� <br />C: <br />C''� <br />.,.t <br />� <br />�r� ,,. t. ��,^ �-C<' <br />c'r.c '. �i-� � . <br />Variance Sequircd <br />Yes <br />No <br />r=,lo <br />f <br />Sigr.afure of Applimnt <br />�ddrcss <br />icicphone Number <br />Dalo <br />$ <br />Fco <br />DEPT. APPROVALS <br />,� � ��. ,��; .. <br />Er.�lnecrs ' .�na._ <br />�i <br />Wa�er_i"_�r_ zr:'' . - <br />Slrect � <br />Cammunicalions F-;� .� �-____^,�::1/;Ii! ` <br />Tral(ic -- <br />^Ir:nnin� _ _ <br />