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� 1 <br /> .� J `% •. '� \-V 'V <br /> EVERETT, WASH. J �'{ , h ioved ey <br /> Ma�� '.�',� � ��'Clo� <br /> --���'"��' � -� � � � Date Approved <br /> The Undersigned=' � f —� <br /> Hereby applies for permission 10'c • '� / �� �' � ' �� <br /> / <br /> -- , _ �' <br /> At the�following location � � � � ' - <br /> ` (G40� lo OG.J :, c^�.' �c r �c"G. /-?'.f' �:� G .�/? .�`.r':�. �",E'r7: .`-- . <br /> J ' <br /> _. ,., <br /> ' Y."""..�_�.._-..—.-,.--.._.___�__,_:.._:....,.._.,..._,,.._ . .. ._. ...... __.._......_.�..........�...,,..,..--. <br /> SKETCH '' <br /> (Work to be donel � � (�PGv;�E FOR <br /> — I i ;:;::; Cr DRAINAG <br /> � I _ _ <br /> • � __ ___ II <br /> I s_- . . <br /> , <br /> �� �'�,�� / � P!.4 C'<- <br /> �� �, <br /> o ��' - �' �� � <br /> , �` ''• - `1 <br /> � � <br /> / <br /> � <br /> % �1s�� Drr�vt wQ �/5 <br /> /' �`:' _ <br /> `� �� ' * NOTE <br /> CHECIC VdITH VdATER <br /> DEPT. FnR V'�Ai�s�t ' I^I� � . <br /> LOCA(IUivd L=FUitE EXC VATItl7'1 <br /> � / ; ;I <br /> i I � -� <br /> The undersigned owner hereby agrees Io ho�d and save harmlezs the Cily of Voriancc Required <br /> Everelt from any and all claims for damages that may arise because of ihe Yes_... .__.___._._._. <br /> installalion and mainlenance of the improvemenl hereto applied for and No ... . _ .._._._. <br /> f�rlhcr agrees to remove same upon notice from Ihe City and lo replacc ol� <br /> pvblic property damoged thcreby. <br /> $ignolore o( Applicanl <br /> �:' <br /> MAddress <br /> .35�- � � i :7 <br /> ielephone Number <br /> Dafe <br /> �.1 �`:� : . � . . �. <br /> Inspecfor's,Signolure ^�-:.. - $ L- �/Sj'� <br /> � � <br /> Fee <br /> i� `�� ,. .::'� . <br /> Dafe <br /> DEPT. APPROVALS <br /> " 1 <br /> /�-T.5 /.� �i� � � �1 � � i'� i: ii. �� ,�,., l" � �,�n�� ir �� <br /> Remarkt ' Enginecrs • � - <br /> Water i � ��', %�( /,/' : „n.. �dS N�•1� u� <br /> , r. <br /> r' :'b"v : i �T, �.� rA� �• i • Strccl - , . <br /> Communitalions �. (• � �('���� <br /> Traffic <br /> ._ Planning <br />