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EVERETT, WASH. Approved By <br /> ,� .� . Dale Approved <br /> The Undersigned +' ' � ' ��'`� � - n — <br /> Hereby applies {or permission to ' "� j'����'=Z� �-^'� � �'�'p G'r'� ���i✓'� 'i��� �� — <br /> / <br /> At the following location ,� r 4� �?�. �� f�-� �'�'` ''''' `� `' -�' '"� '�� -- <br /> SKETCH <br /> IWork to be done) <br /> � <br /> �� � / <br /> 57 \ ' <br /> 4n <br /> ��g <br /> h <br /> i 2 ��j0 G <br /> ::, ` ��-�� <br /> �r� yI <br /> � { .^ <br /> �l r.l U% <br /> �-�— �...+ <br /> ,, �wY• ;%- <br /> ,:s GUr��' D� �%� , . <br /> ; • Q5� � �. <br /> =�'=�==i C.n, .c �'��"L,V '� � <br /> L��•=' �� /i <br /> - � ---- ��/-�� <br /> ,��� � / - <br /> ; <br /> ����r. '� <br /> - � <br /> The undersigned owncn c�reby agrces to hold and save harmless Ihc Ciy of Variance Required <br /> Everclt from any ond all daims for damages thol may�arise becausc o( Ihe Yes .. . .. . ___ <br /> installation acd maiNenancc of the improvement hcreto applicd for and No .. .. . .. <br /> (urther agrees �o remove same upon nolice irom the City and to replace all <br /> public property damaged ti�ereby. <br /> T <br /> ' � �" ` " ' � � �� <br /> . , <br /> �'%�c �'ti-�,c�-� � � ��� � ,'/' �`�- .c_<<�/ � ��' �' _ <br /> � Signature o( AppGcanf � <br /> _ 7' . It< � ' <br /> � <br /> ,.�,,�, ; ; � � ` add,�:5 <br /> /��� Telephonc Number <br /> �• <br /> Dafc <br /> � � �� / <br /> Inspeclor's��Signalure � . S Il �-. ry ��� �� _ <br /> Fee <br /> Dale <br /> DEPT. APPROVALS <br /> Remarks Engincers v <br /> Waler d� e� - <br /> Sircet ' <br /> Communications � . ��'1 ����-- <br /> Tm((ic <br /> Planning <br /> aP�RovEn <br /> r�l���,,,.>.� ������_�-��,., <br /> ,l�.��>: <br />