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EVERETT, WASH. Approved 6y <br /> 1 , <br /> The Undersigne.i._ � ' ! � ! r . _ - Da�e Apprc��d-- <br /> �, <br /> Hereby applies for permission to � -� ` �� ' _—�f—' ' _ ' � <br /> � <br /> At the following location ' � � `` ' _� ' _ <br /> _,� _.,,,.--�__ <br /> — � <br /> � '—'- Ca, j' �;r' ~ .1 j, <br /> SKETCH _._...._ ._..r._.__._ -_ ..._._.,_ <br /> yf�:tiv'..�.�.��C . 5'�T/0N <br /> (Work fo be donel � {t3U sCtalS� <br /> � <br /> t ' y�� . .. .. -..... ....�........�.��r <br /> . _ . . ... ..__'_'__ i i �� t . .. _. . � <br /> � -- ---r----- . - . ... �r��'�P �.,., —�,wi <br /> � � ' T �.� �q <br /> �JOR T'H � _ _ <br /> '��4u� --��z31_� :�..�.-----. _J_.�_-_�_-- <br /> i ; i.._��,�ID� FC)R <br /> � <br /> L _ � I �Ho��-�� orr,;��.��,c�� �� <br /> ��� 1Qr�Ase�,l'A�+C. J/'JJ I _Y.__ <br /> — -- -- —_ � � -__ .._. <br /> _, ._:—,.�— i .n-t.� , •./«� � ----"`"_"_."� -- <br /> ... <br /> .._. . __. i �- �, <br /> - . _ .. ._.__.- ,r", <br /> ^i� <br /> � �� e�- �� ;� �,� . <br /> , <br /> Ct/r c� <br /> The undersigned owner hereby agrees lo hold and sove hormless Ihe Cit;� of Variance Required <br /> Everett from any ond all claims {or damages thal may arise because of the Yes . . _. <br /> inztallalion and maintenance o( Ihe improvement herefo applied for and No.... <br /> {uriher agrees ro remove seme upon notice irom the City and to replace all �� �� �-�- --��������� <br /> public propery damoged thereby, <br /> _ y; <br /> � � . �lL� I C Y Signalure ol Applicanf <br /> < l< < < / � _�. '/��i �,�� n _ <br /> �-r. ��: -c� . <br /> y,. <br /> � 'I ;' Add�ess <br /> �1 �' <br /> ielephone Number <br /> �^ .. - _ / ; <br /> / — <br /> .- __ ' � Dafe <br /> .—�-,.1.� � . - �� -.�:.- <br /> Inspector i:5ignalure ` �—' � � <br /> ,� , . � Fee <br /> � ,�-'� <br /> Dafe <br /> DEPT. AFPROVAIS <br /> Remarks Engineers _ <br /> wa��� t�. K. <br /> srrce� <br /> Comm�nicalions <br /> �•affic <br /> , _ __ Planning <br /> :INN��V�VP f`. <br /> 1 <br /> � � i <br /> _ �� l ��_ '.�i t �' _ �� t�,��=1�\ <br /> �1. '. <br /> \ <br />