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CITY ENGINEERS —��'—� <br /> 1 pp�roved By <br /> EVERETT, WASH. <br /> 1��r�us� l8 � 1���`l <br /> �1 � � ;� 7 , . �� •s- ; � Dalc Approved <br /> The Undersigned / v' ` �' ' � '` ' � �J�� <br /> Hereby applies {or permission to ���� '`""sP � NC. .� , � - <br /> At ihe following location�"�s.���`� �'��� V��� �Lv� <br /> ....r"`^,_,..._.>. ...�_.,._ _ . _,.__. .._�..._ ,.._...y _.:.. <br /> SKETCH <br /> IWork to be donel <br /> � / � <br /> _� � <br /> � <br /> V��,w BL,,�o. � <br /> �/ ' /�� _ � ��_.10' <br /> V 6 �j <br /> i� 1 pG- <br /> \ <br /> y4. 2 <br /> ASP. D��/ ��E �!`� Y <br /> I a3 <br /> � r�� � <br /> o O �� <br /> � � <br /> m ` <br /> r O � <br /> r <br /> m <br /> � '_ '���. . <br /> �04 <br /> B4„qo <br /> The undersigned owner hereby agrees to hald and save harmless the Cily o( <br /> � Varionce Required <br /> Everell from any and alI claims for damages that may arise because of Ihe Yes..... ...___...__...... <br /> in:falfation and maintenance of the improvemenf hereto applied for and No_... . _.__.__ _... <br /> furiher ogrees to remove same upon notice (rom the City and fo replace all ;V <br /> public property damaged Ihereby. ,�� <br /> C'; ^I //./ , <br /> 4 N� { �� Y f' �/ / <br /> T�>��.t„r..:t .!.r_-r ✓ �.,✓. C <br /> Signature of Applicanl T <br /> Address <br /> iclephone Number <br /> / —� ,/ Dafe <br /> / l/-+'.1�,; r „-�y� .l�c/! .�S �..!-'.•_-- $ <br /> Inspeclor's Signalure <br /> Fee <br /> �;�/ /S .�l �i <br /> Dafe <br /> DEPT. APPROVALS <br /> / ` 1 <br /> Engincers ��� �� " v'� -" <br /> Remarks Water_i —� A'A'� <br /> Slrcet — <br /> '— Communicotions r� �"'� • „'.:, �•`-� ����e.fs4�s�l , <br /> Traffic <br /> Planning <br /> . <br /> i <br /> � i <br /> 1 <br />