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EVERETT, WASH. � <br />_ -T.__" _�' "_' � __ ._ ___ <br />r.:PiCvdu d) <br />f�,-r�:3�= �.' 1 i il� <br />d ' .+,�1� � `-//F/`-� --- � ' Dalc Approved <br />The Un ersigned � C' - +P- <br />Hereby applies for permission to %��` ��" - �= ='�'`�'`' ! "' ` = ' J <br />At ihe following <br />SKETCH <br />IWork to be done) <br />v�� <br />� <br />_ , �. �,, .-� _ . <br />vin�f>,s <_n R �,/�����%�c c��/c. <br />Thc undcr.igned owncn c�reby ac�rees to hold and savc harmless ihc Cily of <br />Everett Iron� any and all cloims for damages that may arise becnuse of the <br />installalion and maintenarce o( the improvenent hereto cpplied for and <br />lurlher agrees ta remove same opon nolice Ge n the City and lo replace oll <br />public prop^��y damaged ihcreby. <br />Inspector's Signalure <br />. i�7'�' �i��;G.�'/) �/�70 <br />Dale <br />- -'- <br />� -- <br />j � �2s � <br />� <br />, <br />. `�;�i1.;,�, ; �,�., <br />, i ��J�=c�4 L`Ri11NAGE <br />Variance Required <br />Yes.___._..... ..__... <br />No____........_.._._. <br />. . /A. �:-������._ <br />;�/�.' , ./� 1I �}i..,. <br />/ G-v..-t/ <br />' Signalure ol Applicanf <br />. /�;. / <br />� - /%I-l.l,::f:��C.� !_.'r -�� <br />� Address <br />2.sz-i��� . <br />ielephone Number <br />�%- iCy - %L� <br />Dafe <br />; 5 9 �2.= �, PD,-�y�,o <br />Fee <br />DEPi. APPROVAU <br />Engineers��'-�/fV(-+.fJ.:/ls,Y �/%L�� _ <br />wa��� r� ..��'�-;�:�,.c�— <br />Strcet � � , l, r ' k�= - .- <br />Communicolions � - -� `- �-«=t <br />Tta}fic ... ,1•.,��.f. .J .. �r <br />Plonning r'H� <br />