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E'Jt"nETT, WASH. Appro�ed ey <br /> / <br /> f �� � � Dalc A roved <br /> The Undersigned ��/ ���`��r'�����'�� � � " � '���'` PP <br /> % _ r: . - — _, � � '�� . <br /> Hereb�� applies for permission to__ - <br /> -- � --- <br /> /� <br /> At ihe fullowing location_ � - � � _ ,�� `�/'� ���" -r • / ;�• '�/ <br /> /��. <br /> lt o?c�t��i ,ic:,..�: /�,l,olnsE r,�iJ S�yr��f�e ,i -' .f .•.�.. <br /> ' �.��.,,,��-.�.�.. ' � <br /> :iKETCH <br /> (Work to be done) — — — --- - --- <br /> �•' ' '" _ ����_. __ <br /> :::. . ... _..._.�._,�.,.�.. <br /> - <br /> \�` � ,,�E,vw�� �%-, : � ��` . . , : � <br /> - - - - - --- - 1 - -- - , ,� � <br /> I . ��� i <br /> i , � i > <br /> I i � �; ' <br /> � j—� ! <br /> ' ---- � <br /> �� 7 � Il� -� i t�� o <br /> r� ' I j ! � " � <br /> I ` <br /> G,'12o -2 �22l� I ; ) � <br /> {---I I I <br /> / � <br /> \ ` <br /> — - - ---- - - -_ _ � <br /> _ __ _ ... _ _ _ __ .- ------ <br /> \ i <br /> - � � <br /> /'!t_-L�"'_'J�,� " / VE;1%��!� <br /> �,— --- - _ _ _ _ ' <br /> - -_ -- --- - __ <br /> _ _ - — -- _ G <br /> The undersigned owner hereby agrees io hold and save hormless the Cily of Varionce Required <br /> Everett from any and ol! claims (or damages �hat may arise bemuse o( the Ves.. <br /> installalion and mainlenance of the improvemenl herelo o,�plied {or and No <br /> further agrees to remove some upon no�ice from ihe City ond ta replace oll � � -� -�--� <br /> public property damaged thereby. <br /> -; C ?i� /- • / <br /> `�..� � .. ; i:::.'r` �Gl j w u�v <br /> .-. Signalure ol Applicanf <br /> ,.-, <br /> . . , ' ,- . �, -.� �t <br /> L_ i_ • � <br /> �4`/' ". //.r /1.,,.y,n, i+� ;� , t,,�i/i..- .. Address � <br /> d/,'fY':' K�yYJ" �" �' - _.: L� — '��[r�.�J <br /> ielephone IJumber <br /> ._ � <br /> �. � . - - �Date�:. <br /> �.,. <br /> .�7�`^._. �— �v-iw�4� <br /> lnspecror's�na:ure ��' $ L- I v '� r a <br /> Fee <br /> Dale <br /> DEPT. APPROVALS <br /> Remorks Engineers , <br /> Waler �" <br /> Street <br /> Commun'�wlio�sl�.�� - •i� � :•���` <br /> Traffi4 � _ <br /> _ Plannin� <br />