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_ � <br /> •= ' .._�. <br /> Permit No. . -' -` "-- ' <br /> __....... ._ - everett <br /> APPLICATION FOR Df21VE�A/AY PERMIT <br /> CITY ENGINEERS ������ <br /> EVERETT, WASH. T Approved By <br /> / �/v�.,��r/9�'/' <br /> The Undersigned �7 �f � `��%�� ��� ��l�• Datc Approved <br /> �� �.-�. ;�-r <br /> Hereby applies for permission to ��'�-�S% �U �`>v• <br /> 7C�/. % :�� ',i"o`.<-:'!_ --- <br /> At the following location - "' `- � " �`'� <br /> Cl� '� <br /> SKETCH '¢aPy,4�T,�' `' G` � <br /> (Wark to be donel �R/1/�cyVA , �'�/-��C <br /> � ��/(/� <br /> /'=SG• 1 ,b• <br /> � 6 � � —#—�`—.__ <br /> � � .�EQ—% <br /> �G�Q <br /> I � <br /> 1 � � V <br /> �J <br /> � <br /> _— � ' Q <br /> s <br /> � <br /> I v <br /> ^ � � � y J <br /> M S N I � � <br /> \ ' �� V <br /> � <br /> i, :� � <br /> _ //G.7/ <br /> C3L—R/f5,�!�RE .Dl����� <br /> Thc undcrsigned ownen c�reby ogrces lo hold and savc hormless thc City of Variance Required <br /> Everett from any and oll daims !or damages that may arise 6emuse of �hc Yes .__.. <br /> installation and mainlenoncc of Ihe impmvement hcrelo applied for ond No.. �. .�.. .. ._. <br /> furiher agrees to removc same upon notice from Ihe City ano fo mplace all �--��-��� <br /> public property damaged Ihereby. // <br /> � :W . ._ . :?T";'� . . .. .� . 1Sc�.�..' 1�.� <br /> il . ' i. , . � '. +.'_..' . <br /> � , t L� <br /> Signalure o( Appliconl <br /> !). '-j C�. �;�i^�,t `- � �.� _ . . . <br /> add.�,� <br /> ✓�.�� - V_' �ir/� <br /> .`:):} � � . E ' <br /> Telephone Number <br /> %��1� _ <br /> � <br /> Dafe <br /> � �. <br /> Inspedor's Signafure $ �� . -- �- A'`��f"2kj <br /> � Fce <br /> . Si;lz �i`��GK-L���_'�_ <br /> Dofe <br /> DEPi. APPROVALS <br /> j, i::% . <br /> �� i <br /> Renmrks Engineers._.��T"� ������ <br /> Walcr � L ..J�i-/.. ..t-, i - <br /> Strect_ <br /> :' J! ! >r t-. : <br /> r ,,. � . _ . � . <br />