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CITY ENGINEERS �(,t.f �lr,C_t�-�-ti,"'- <br /> EVERETT, WASH. Ap� oved ey <br /> � �.J . a.�. `�i� \�(�� <br /> -�'�`,J� �j� ���� ''�� ; {;.. Dale Approved <br /> The Undersigned � � T / <br /> i , � • <br /> Hereby applies for permission to �� ' � `'t-` � /� ^� ��� ���� '� — <br /> /j � • ^ ' ' <br /> At the following location•-='"�� �' :"t"=a` ': + c�:� � �'�.,,...:.... <br /> SKETCH <br /> IWork to be donel <br /> , �1��' <br /> I��)i�:�' <br /> JI � � � <br /> ' �sT �� � i <br /> F>� � , <br /> � ct\ � <br /> /� <br /> h ` � <br /> �' ` -�C� <br /> c� �� �� (C� .,�� <br /> f d�� CON 2/VE ` Ll� <br /> � �_ � <br /> � � I <br /> i Q � <br /> _ _ .y ; <br /> �-'. � <br /> r`L i1'j � <br /> !�' Q � � � � <br /> �•_� � <br /> � <br /> -- -� <br /> The undersigned owner hereby agrees to hold and save harmless Ihe Cify of Variance Required <br /> Everett from any and all claims for damages Ihal may arise because of 1he Yes. .. <br /> . _..._...._._....... <br /> insfallation and maintenance of thc improvement hereto applied for and No__. <br /> ._._.. _ ___.._. <br /> further agree� to remove same upon notice `rom the City and to replace all <br /> public pro�crty damaged thereby. <br /> .r-,� <br /> .Crs <br /> ;,^.. <br /> Signalure of Applicanl <br /> Address <br /> Telephone Number <br /> -_ � - --- � Dale <br /> � - .t. <br /> Inspecfor't% ignafure �� 5 <br /> i � Fee <br /> � `' <br /> j!,'� ` �L/ <br /> Dale ' <br /> DEPT. APPROVALS/� <br /> Remarks En�ineers �� �• ,dT'`-�`�� <br /> Walcr/�•c `--� a�-..� °�- .( Gr_. <br /> Strzet <br /> � Communimtionr � ' � ', "; �l/ — <br /> Traffic <br /> Planning <br /> .- � <br /> i' , <br /> (; <br />