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.4P���. 28 �y'r.� <br />The Undersigned M 0'-� '' �7 �� `� "7 F P li• Z� I-E �` k�i � NnIJE : b Z3 - 3Z00 Date Approved <br />G'c3- G 9.�, ! <br />Hereby applies for permission fo �'��1 �T• TNJ(.� -'',� �r%�ll.� �� — <br />At the following location ' � � - �''� � � � � ' % � �' � �- V O � <br />I <br />SKETCH � <br />(Work t be doi <br />� � <br />v I <br />m <br />\ <br />SHOPPING CENTER <br />'tal�✓ <br />� `.� �__.__'.�L_ c„y SrAu� s/W <br />oLYN1PIC <br />The'undersigned owner here6y agrecs Io hold and save harmless the City of <br />Everett {rom any and all claims for damages Iha1 may arise because of the <br />installalion and mainlenance of the improvement herelo applied for and <br />(urtF�er ogrees to remove same upon nolice (rom thc City and to mplace all <br />public properry damaged ihereby. <br />s,z�c L� <br />Inspeclor's $ignalure <br />J/T� GrfK.:i-r"/.) 3;�i /7� <br />Dale <br />i'.�if !.n i',� _:ir '' ' i`,...2?3 <br />. b�_';,�� <br />; ,:'-.:.i,:o is starled. <br />r.�J'i : _ <br />CFiF,C, <br />: �-,r <br />;,,... <br />���7. <br />.i:._!..��' <br />Variance Required <br />Ycs ._ __.. .. __..... <br />No.. ... . .... _ . ..... <br />OA,,� Ci� �ac�.•.'s:"' �'�; <br />��,G ` �y(' �'.."`_._� <br />Signafure o( Appli nl <br />9cs�s G.�',�,vu'���s nI. s�,4ir� ,,:: <br />Address <br />S � ,�'-x �-�E : <br />�_ s.� �.: w «- i <br />Telephone Number <br />3— 7— %Z An.t��v+v ��.[i <br />Dafe <br />s 35 � 'BH� ,�97�`4�- <br />Fee <br />7D/EPT. l�PPROVAlS ////// <br />Engineea�'��.�` �-�C`���/�� �.��- <br />Waler M' :. �T 3 -. � �j. -7 =_ <br />�� -._-�_.___..__,.�.____. <br />Slreet <br />Communicalio ��-:J�-i.._..�._�'..�---..... <br />�: o_.� � <br />Traf(ic r�� 'f 3 - . 77- <br />Planning � N C 3� 7— �° Z _ <br />;;'1Ii .. <br />