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\ _ __ _ . �L� ,�.1�' �[.�1 <br /> EVERETT, WASH. � ` Approved By <br /> � ,i� .5.=,�1' �t��� ,2 /r�'il' <br /> The Undersigned F��* /� �- �'S .��n�� PP J <br /> Date A roved <br /> L.'��J�C � �Y�-r � .J..� ' - /�/I/ P� CLi.'/�:,� ,JL A =' � f'CY.�.'i <br /> Hereby applies for permissian to /� , <br /> At the following location ZSU/ /''�''� � � <br /> �P/t- : _r.: - - -- ' <br /> SKETCH <br /> fWork to be donel <br /> 2 S %H S T,e EET <br /> STEE'L Posr w�/ <br /> h {v�f��� ,J�A�" f' ,�,,/, �� 4z - �/;-�y ,/ <br /> ,� <br /> W �io� <br /> W I --- <br /> 4� \��v <br /> ) ��\ Z�'p ' <br /> � � SCALE /"<d� <br /> _� <br /> . �U <br /> h J <br /> �ll ° � <br /> � � <br /> � ��' — <br /> Q <br /> � <br /> The under;igned owner hereby agrees to hold and sove harmless Ihe City of Variance Required <br />' EvereR from any and all daims for damages that may arise because o( Ihe Yes... <br /> _ ........___........ <br /> installation and maintenance cf Ihe improvement hereto applied for and <br /> furiher agrees to remove same upon notice from thc Cily and to rcplocc all No. .. _._. _. ___.... <br /> public property damaged thereby. <br /> . . . 1 .,. ' � i . <br /> '�- '.. �� I„.- , - � -{ � � <br /> . .._ _ _ ' � . . _.'�..�1 I�r[ (�/.�_.�' �,`'-�r,f. �� �1••- � I�;-� � - <br /> I ;� J <br /> �' /_ G"d��//K� ,�.11it'-�� <br /> �� � � � � � � Signalure of Applicanl <br /> � A �� f��� <br /> �v m�"�- LG�( /�l st.��p�-t�ar e,yi;� ,' . �4.�' /1 7 / <br /> ' / "v) -�(� �� ✓'�/C(', l <br /> y' // —�t' � <br />• '�. >,� •' /f-Gl��� _/ .� �� ( • Addross.j, <br /> . . . �<cs�-�92i . �t!� , �_�_1 L-z� `=- � .--,-c�>_ i�-�-c ..o�,.t / (�: <br /> G h �:,-�i — (C� / �.��� <br /> ielephone Number <br /> f.' `—/,S'._' /��. <br /> Dale <br /> Inspecfor's $ignofure �� �� <br />` Fee <br /> f S177>" Cr/EC'KC�i� ��,S.S'�7(� <br /> Dafe <br /> DEPT. APP///RO''' VA 5 <br /> Remarks e'ngincers�����`[���-���•/7v <br /> Walcr <br /> 4 � Slrecl - ` � � � � <br />� Communiwtions"-%".:��'��, --./ . r <br /> f ' . . G i9 �7e - <br /> Tra((ic / �' ' � <br />�, Plam�in� F� .�- <br />�i � <br /> 1 <br />� <br />�_ _ <br />