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The Undenigned_,_ <br />G <br />Hereby applies for permission to�� <br />..✓��i�: „� �.. <br />i i' .- <br />At the following location � ��= <br />SKETCH <br />IWork to be donel <br />_,� _ , _ , <br />_ ! �J �'" �:,/'._/i i :,- ' � = - <br />� �. . _, � . . .. ... . <br />� <br />2� � <br />20 � 1 � <br />n� � <br />� � - - _— <br />� �_[_[� � %�%�_�_. <br />��� N�. <br />_____, <br />��� i -_� <br />G42"N/GN CYCLONE <br />G'/>'A/N G.//�1K �FNCE' <br />�T2EFr �� <br />The undersigned owner hereby agrees to hold and sove horml.ss the City of <br />Everetl from any and all claims for damages Ihat moy arise because of Ihe <br />installation ond maintenance o( the improvemenf hereto opplicd for and <br />furlher agrees lo mmave same upon nolice from the City and to replace all <br />public properly damaged Ihereby. <br />i <br />,' ��1_.0 c: %C.!_o- . <br />, , , Ic �-�, %� ��-� • <br />�. �� , J <br />.. ? �� , <br />. i` „ � <br />�� ���q.,�". <br />Inspecfor's Signolure <br />�7/i L �N,.�C'c;1=i) ¢/��/�O <br />Dafe <br />D�le Approved <br />_i <br />. - �� ;� r,,; -i .;; ✓ � . <br />� (�.�__��� <br />i; <br />��� <br />�� <br />i' <br />i�oTE � / ; <br />�onls r ��,�-%� � i�,^: `._ � <br />, . -,%" -. <br />.�; <br />Variancc Required <br />Yes._... _. ___. _.__.. <br />No_ . . .. _.... <br />��SiiJ �\ �/C 0-�..Yi�. <br />$ignature af App icanf <br />�� c- - %--� �; � ,: _J ;,_ <br />ndd,e,5 <br />�,�iS .�— �UC�''J <br />7elephone Number <br />i/�� <br />_ "/� -C.i �%<% — <br />� �Dafe <br />� <br />DEPi. <br />VJater ' -L+'_! /, <br />$frccl � ` '-��: �. <br />Communications � <br />Traf(ic_ �� .. <br />Plannin�_ '_.,�:',�' <br />�._�� C,Cc�_ <br />Fee <br />