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A. .\'.JZl �CJ-t 1 ��.. <br /> EVERETT, WASH. A ved By <br /> . '(��;� 1O , l�t(oq <br /> The Undersigned -%/ � Dat� Approved <br /> ', . <br /> / . <br /> Hereb;• applies for permission fo ��"� �-' � ` '' � <br /> At the following lomtion -- " <br /> SKETCH <br /> IWork to be donel <br /> t. <br /> %i�=,�i�/�--� .J L�c � <br /> . I . _ - j �� l � <br /> � ,� , <br /> � - ���- , •. <br /> I , , .� , , <br /> � - - - <br /> I' , <br /> _L� _ ---- __ i <br /> - --�— p � v c_l•7 i�`�<i n � `� � `� D .� <br /> — -i__�_ ___-_ . ' i � <br /> _ I �I <br /> . ' I � 1•-�.�, ' :V <br /> _i �L <br /> � . ���'�� � � � <br /> 2 G.1. <br /> 1)A16r I <br /> SC, �,�� � 1 l l d- -� <br /> �A�i �L ( <br /> II � I <br /> II L_ � � <br /> I n) � . � <br /> ,\ ,1 - <br /> , <br /> '_ - --- - - --- ' — ' - - - . � _ <br /> I �� <br /> The ondersigned owner hereby agrees fo hold ond save hormless the City of Variance Required <br /> Evereft from any and all claims for damages that may arise beceuse of the Yes . _.. <br /> insfallation and maintenance o( the improvement herelo applied for and No <br /> furlher agrees lo remove same upon nolire from the City and lo reploce n�l ��� � � <br /> public property domaged thereby. <br /> _:J <br /> �` <br /> „_„ � i �_.-. - , ;�.Signalu�e ol Applimnt . ' � <br /> ; <br /> , � � r ��� 7� . <br /> i,. <br /> ; , ' ada,e,� <br /> - � z <br /> Telephone Number <br /> / Dafe <br /> ���I`9'� � . ���—L�CL�� <br /> lnspecfoi Signafure ✓ $ <br /> / <br /> ` . /� // Fee <br /> �� <br /> �6 <br /> DEPT. APPROVALS <br /> Remarks , <br /> Engineers.� <br /> Waler ✓ . <br /> Street N�G�'� <br /> Communical' <br /> �- t <br /> Tra(fic �I � <br /> ._ Planning �,:�j� � � ' <br />