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The Undersigned �• h� ? r u`��'- ��' h'' '� �- 11 F_ TA !.o r.� �'- <br />,. _ . . _.._ .� . _ � ,_ /. � <br />Hereby applies for permission to <br />At the following location � 3�� �" h� J ��'" %'` �– L � V E <br />SKETCH <br />IWork to be donel <br />__ � <br />1'�-.l.p � <br />�-- <br />o"� <br />i 33 6��� <br />, <br />� <br />�° � <br />W 5N <br />� SIAQ <br />� <br />V <br />-- ------- ._._ ..-�---l...._... <br />M� ����_';:-� � � <br />The undersigned owner hereby ogrees to hold and save harmless ihe �ity of <br />Everett from any ond all cloims for damages that may arise because of the <br />installolion ond maintenance o( Ihc improvement hereto applied for and <br />furlher agrees to remove some -��- •i notice from the Cily and lo replace oll <br />public property damoged Ihcreby. <br />! ��.'�Y-. �-- _5AC3_'tRP! <br />c�n-_ SC��r� <br />M <br />K <br />-�k �*1 -=' __ �- <br />� <br />� �'' , <br />' �:: �_ -�_.�- - ��, <br />�_`_' <br />Q� <br />Inspector's $�gnalure <br />m <br />S'. r�; L f1"..�.sr'�L1 �°/29/7� <br />Dafe <br />i <br />��ir/71�L�% ��'�/li�G���i=�L C�%'<�"' �i;Z— <br />"r r r.�� <br />�,il� I.IIP!Il('nii�1". �l!j1t: :.�.�(� <br />/�� F�VL��il \��tll�jl <br />,p�t;frn,1��.�i rS ��!tri;.�l. <br />Dale <br />Variance Required <br />Ycs . . . . . _. . _.... <br />� No. . . .. .._._... <br />r`� <br />1 <br />� i <br />�J ��,��I �� .a�..,r �;.�,_. � <br />Signalure ol Applicanl � <br />�Z�ZP,�I-�C � �%,UCSFtLL <br />add,e:� , _ <br />,7s�i- � 1 �G. <br />ielephone Number <br />� � 2 f ��, <br />Dalc � � � <br />''�a �� `_`� <br />S .� �-. �-�-19-7�- <br />Fee <br />r_ - <br />� �;' � ' = DEPT. APP OV LS <br />�� �1/�i <br />Enginecrr��ti.�.�'/_: � '3 / �= <br />Wotcr l � <br />Slreet -- —"---�`-'.. . <br />Communications���'�% ^=�f_rM'� -1���-� <br />TraHic L�it ✓_'`=- . � 1 � . -.. <br />Planning f.'I�S =*-` -�-�'� �`'�"" <br />. . ._ _ '. _... ._ <br />, . � . _ _. <br />� .. ... � �� .� ,� � <br />A--�.._.._...... .,.-..__...�,�.. _..I <br />• r��r�- <br />I '' r ,:' <br />�. , . .. ,-1���N <br />