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, . �; ��� �� <br /> permit No. .�.,- .............i..-.- � everett <br /> APPLICATION F�:P. �RIVEY✓AY PEkMIT <br /> CITY ENGIN�ERS � <br /> EVERETT, WASH. A oved By <br /> oc�ober 7_9. �91�a <br /> The Undersigned ��C'"- !'���/°��'l"%'� �s'��_ Date Appro�•ed <br /> Hereby applies for permission to—s�/2'/1'�'� �� � <br /> Af ihe following lomtion � �� �l/�j�2U��J�'� �C-UiC7 <br /> __'__..._.:._..,.._„M,... , . _.._ „ . . ., _w....�,..�..._...-..._„�.....,.. <br /> SKETCH <br /> IWork to be donel <br /> The undersigned owner hereby agrees to hold and save harmlezs thc City of Variance Required <br /> Everell irom any and all claims for damages Ihat may arise because of the Yes _ . .._ . . <br /> inslallation and maintenance of the improvemenl herel� applied (or and No . <br /> (urther agrees to remove same upon nolice from Ihe City and to replace all ��-�- ���� ���-� ����' <br /> public property damaged thereby. <br /> "�- <br /> `r5 <br /> `�'� Signafure ol ApplicaN <br /> i. , � / <br /> � �',� ,,,��, G.�����'"��3, <br /> � <br /> nda�e:: <br /> ,�,/� . <br /> r- <br /> Tclephone Number <br /> `�/ �� /' Dafe <br /> ?'l A�„y..t,. ��t�_r_i_/./•.-� :> <br /> �spe"cror's��J�lure �-'--- b <br /> � , Fee <br /> ,4h � � �._y <br /> Dafei <br /> DEPT. APPROV.4L5 <br /> Remarks Engineery ' ' v• � <br /> NJal�r�v � ^ <br /> — --- Strcet ,d� � � � <br /> r' _` <br />