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EVERETT, W,1�H <br />The Undersigned � I P F' �� � C. H,-� ! <br />Hereby applies for permission to �o��GT '= — <br />- - Approved By <br />��i��� %J, /�7/ <br />� Da�e Appr ed <br />� <br />At the following location_�-�n�% M U I. 1: --/"--^ F' i_ v L.-�. � <br />SKETCH <br />(Work to be done) <br />i "= s�^ <br />�3��----T _ <br />ULENWoop <br />J <br />� <br />Thc undersigned owner hereby agrees to hold and savc harmless Ihc Cily of <br />Everetl from any and all claims for damagez fhat moy arise because of the <br />installation and mointenance of the inprovemenl hereto opplied for and <br />(urther agrees lo remove same upon nolice from the City and to replace all <br />public property damaged thereby. � ��..-:.,.,-��f <br />--- "--" �>;.;.c �._�,'.,N��-- �:;GCTIUN I <br />(,au sc�ar.�.) <br />�`-i`y�"�� ............. _ .w --.-..'_' -�-�o�a� <br />�_.....-.. ..—j�l,'� � � � <br />� i�`'_'""""_. <br />. . .. �47;:..:�• <br />Inspecfor's $ignaiure <br />�1Z-�= �HE�'.c�F.-� � /9�7% <br />Dale � <br />Remarks <br />Call Engineering nepL 259 Sd�1:� <br />2q Houts before <br />��nnetruction is �tarled, <br />PROVIDE FOR <br />PROPER DRAINAGE <br />EX�sriniC C <br />Tp �3t RELG <br />Bl� OWNE.� <br />�EiitS <br />Variance Required <br />Ycs__ _.______....._. <br />No___ _............ __. <br />�, (r� � / ,'' . , <br />�'% .,r _c, �IC / �l c_•_ ,�' 0 <br />Signalu o/'Applimnl `'- <br />Goo � ���r�v,qY <br />� ; i , � J.,_ � e „� ,�1�� <br />add�e,� <br />��P�,.�...,��-_ /f�9�'�l, <br />Telephone Numb� <br />�7�,J` _.� ` � � �� <br />Dalc <br />S� <br />S � Z -- /�1 //) <br />Waler�,•��: <br />Slreet � - <br />� <br />Communitalions <br />Tra((it _� <br />Fee <br />i_ <br />` NOTE <br />CHECK 1'cITH \:','.Y�.'; <br />DEPT. FOR 4;�AI i'�; i.l;':;. <br />LOCATIONS EiEFORE E;(C,�+;r,:l,!ia <br />