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0 <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The l'ndersigned `.L�`! t—i—� � ''-'• ''— �\' �''' =•�='�'_- <br />_�����._i%�.1/= i'. <br />Approved By <br />�l/� -��::� ° ,� /9�''.?, <br />Date Approvcd <br />Hereby applies for permission fo i NST/ -� __ �.� i �. J::. ' i, �n �o� i.J �sP �'"F� S %` c"_ ��:-'� <br />� � T �i R � � � 1—� ` '> '1- i -�) /�! �! � �., .,_ }.�- � �, . _. e -. ?:' r..i _, . , : <br />� <br />� �� � �e_,_. f_"r,�-;r.J A(/t_ <br />At the following location �'`� `-• � �' �' <br />SKETCH <br />IWork to be donel <br />PIAIKC-12.Te�N A�J� <br />I 13/J <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everelt (rom any and all claims ior damoges that may arise because of the <br />insfallation and mainlenance of the improvemenl herelo applied for and <br />further agrees lo remove same upon notice from the Cily and fo replace all <br />public properly damaged thereby. <br />Inspedor's Signafure <br />5 i Ti�" c".5/r_�iC'c ;) ;; 7-3i - 12� <br />Dale <br />Remarks <br />� ' . '. .. ..'�' <br />���d <br />�.':il�f�. <br />.�- <br />1�Y+-�Passa <br />Gnre s f <br />Ta $E I..CFT / <br />UN1-oCKSI� / <br />�— — — — — — <br />i � <br />I ,�� <br />I <br />� � <br />I �a�9 � �' <br />� $/' J <br />.,_i � <br />,� xri �� �_� ,ti,�T� �� �-o <br />/i�l�L�C(Y,�� � <br />��if=� <br />i • <br />'( <br />CHi_CN WITH WATER <br />��.-F7. :�_�,,, �.��..- � i i..;� <br />L�J <br />� U, �� . <br />�, <br />InJ . <br />Variance Required <br />Yc: __ __.....___....... <br />'� � No_._......_........... <br />�k'�O ��' i 4��:�'. <br />� <br />� l l <,- -;�:� l� ��, � < < . <br />Signalure of Applicanl <br />� �7 � <br />��. ��.� �- �`.i",C�72N_ii' (.(a',}ii -- <br />Address <br />_ � ^ <br />�J,.�} - �� �( � % <br />ielephone Number <br />/ l_ C� 7� =.-ZF ,�,/ 5'i' , -� <br />�ar�' <br />: i �� � �-� `: <br />Enginccrs .—� • <br />Water�. <br />Strccr -��.� <br />Gommunicatio�s � <br />Tmffic r'�'' <br />Plannin� <br />� <br />/ �. <br />i i.. <br />r:...� ,.�� ,,�.k <br />Fee <br />DEPT. APPROVAIS <br />.��F�.rrc :Y �L � � �}'/ - ? '.:� <br />_ ;'r"'_"L-', _7.,. <br />, � cc- <br />`;; _" j <br />.�, '7_7-72� —' <br />.�,� � �`:'2 � �� <br />.Cw/I NiGc.'.,�.�JL i;/",I: <br />.����' <br />. �'co <br />I"=4o � <br />