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� i <br /> CITY ENGII�EEI;S '�'�`'L«� �' ���'"'""��Y <br /> EVERETT, WASH. ' ' pproved By <br /> �� �� Q <br /> The Undersigned ' ` - Date Approved <br /> Herebyappliesforpermissionto //:>r�l-G �-� , ' ;�� ". '�i�!�i`�� r'= <:+= /�= " '_: �� ,���"�:')'l�-� i'/�l� <br /> �CPLAG� -='tY��'. <,'.OGrJs?; i� An�n L%)���- i•�/rF�� .��1n�C. K:;.; '�'_`/� _;�l�tJ f}/'JU t5I1��� <br /> r <br /> Atthefollowinglocation—��4� � P/�✓�' S � <br /> SKETCH <br /> fWork to be donel _ _ ___ _ �Rf�v A1'_. S6C710N :_: " <br /> 25�---�—� <br /> ,� �, <br /> P�,v� -�`T, ----4-t°, � <br /> o �PRb�as�a zo ' =c.����„�-T� I� lv �.� _ w <br /> �, <br /> y . ��'Moy� AN.D REPLf,lc:� S/�U <br /> N <br /> -- �__...__ — - 0--.. as�l. ._. <br /> 'a.� xo•,, .a . a � - a • <br /> � �I 1 _ � <br /> \ I �oi.,,� - •--"'--._..�_ _... <br /> 7D Q� P.� �D W r,�� !�G ��'� QA.IVE��Ph' SF.C7tON _ <br /> � (110 �SuAL�� �`l� <br /> c=O�VC,r I r � ;\� <br /> \ �� , CM <br /> � t�1�� <br /> ` � ''1 <br /> �'� , 'J,�___.'x_'Z.1 I' _"' _ '_ � <br /> � _ �' ' <br /> z� z� ze �9 , 3� ,2U � � <br /> . <br /> i , xz� � ;; <br /> („ � �� \ <br /> JC�GE /�= 90 � � o v <br /> P � <br /> i7 ,(/ � � <br /> I j�� ���/ ' l�-, � <br /> A���Y <br /> Thc undersigned owner hereby agrees Io ho�d and save harmless the Cify of Vaiiance Required <br /> Everett from any and all daims for damages thot may arise because of the Yes___...._.. <br /> installalion and mainlenance of the improvement hereto applied (or and ���� �������� <br /> further agrees to remove same upon notice irom the Ciry and to replace all NO---�----------�--���--���-' <br /> public property damaged fhere6y. <br /> � �lo �o� ��avC Srve\ �cr(//Cc boAeS L•' , i) �^ <br /> ��.., .��,: �/ � ����'. _,.�:.��..� <br /> _ y/7U ��, �.,icv. �.�_ac�.� . t. .c�!. �� ._� �ig ature of��APPlimnl <br /> f� � % <br /> .� • ,.� ._ , ., " - ;� `` <br /> . . �'� / .>. �' .. <br /> f j:-I�,,.•L��-.o-r.•,.. :��Y`, . <br /> p'Address <br /> J j �� _ : ?� ;„ / <br /> ielephone Num6er <br /> } - /G -�- �c:� <br /> Dafe <br /> � b U <br /> InspeUor's $ignafure g f� ,�..�'� <br /> Fce <br /> SITF �. /J�=I:FY_--D 4 i6�70 <br /> Dale <br /> DEPi. APPROVALS <br /> i ^ �J <br /> Remarks Enginccrs,-� � T/ti <br /> �CWaler U .� / <br /> Slreet ' `�' "� <br /> Communicafqns �' � ' � � <br /> Traf(ic ��d , <br /> Planning � f/� ` <br /> �c�N�. /1L � <br /> ( _.. � <br /> - �'.�. <br />