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.- � �, , <br />� { .�. <br />Permit Nd:-.�--�--'._ <br />CITY ENGINEERS <br />EvERETT, WASH. <br />The Undersi;�ned <br />APPLICATION �UK URiVtvVAY rtKivii i <br />everett <br />U <br />l, . v', �, ' <br />-A roved By <br />I�o�Ct'n�x�r- 3, IGG:c <br />Date Approved <br />Hereby applies for permission <br />�; �:,?�- �" <br />At the following location `--"-` ''- s <--�-''` r`'''"/'� <br />�.r._.,,..__............,,.s.....� �.. :. . _. . . .. . <br />SKETCH <br />(Work to be done) <br />I <br />38 T.,�, <br />I � % <br />2 � <br />W •,�\ � 3 <br />� � m d <br />� /Js�. .D�i✓E <br />� <br />s <br />� <br />� <br />The undersigned owner hereby agrces lo hold and savc hormless the Ci1y of <br />Everetr from any and all claims for damages Ihat moy arise because of the <br />installalion and main!enavc� of thc improvement hereto applied lor and <br />further agrees to remove same upon notice from the Cily and lo replace all <br />public property damaged thereby. <br />)..;Ci�:C�C: �� <br />-!�i'�/l <1 � . %'L! It�1 �' - <br />._ j >;' % <, �:.;.�� �t��,ct. �.�: �� . <br />�I��I,• �. ' fJ <br />,.���� <br />� i: 41�r �, <br />�,'!� � /ie � <br />,/q j!o .. <br />/ �. <br />�='---��.� <br />I^��a � <br />� <br />-��F L�r�f� , �� <br />�� �' �/� � � � ,�� ' ( <br />� crL{; al-0.jl �c . �.t�.[ <br />- , -: c� C<�.�-G r a <br />._.j�� , <br />`7�..� ,� i���-..�-�y <br />lnspeclor's �S nalure <br />� <br />,� ,oi - 9 <br />Z�i <br />r��5 �`�d9 <br />.• <br />Variance Required <br />Ycs._.. _....... ....._.. <br />No......._.__.. <br />Signaturn of��APPlicanf - <br />Telephone Number <br />�ar� <br />S i _ � ' S '' l <br />r <br />�".�,Y'�%- Fee �5� �� <br />