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— — � ` -- — <br /> EVERLTT, �NAJfi. Approved By <br /> a���E�'�-'E3�� /9'%/ <br /> ihe Undeisigned. r. = � �-'J'�� _ Dale Apprc+ved <br /> Hereby applies for permission to �-�'��� r � �� _ :��li �"1 <br /> At the following location �: r7/ �� I� � �� F %' 1 (� �� (1 � �' � <br /> SKETCH <br /> IWork to bc �onel <br /> �- <br /> J <br /> ------ 1---f�$�Jp , <br /> __ - <br /> RIVERv�Ebv -- __ i,,, h�, <br /> _�--_---�_ — � <br /> �--� -- - <br /> --- _ — �.►� _�" <br /> — — — �� <br /> .z <br /> Zalo " �,\ � <br /> � ,� �r <br /> , 10��-�/ �\ <br /> ,,-� � <br /> io2 ��� ��-' � <br /> -- ---�/ <br /> The undersigned owner hereby agrees to hold and sarc hamless the Cily of Varianre Required <br /> Everett from any and all claims for damages that may arisc because of Ihe Yes._.. <br /> .__.. _ _... .... <br /> installafion and maintenance of the improvement herelo app!ied for and <br /> further agrees to remove samr. upon nolice from Ihe City and to replace all No . .. . ...._ . .._ _. <br /> public property damaged lherzby. <br /> �'—_ ,_.c !t:Y/!��'- <br /> Signalure o(•Applfcanl <br /> � f:r, '� <br /> � Address <br /> i <br /> Q -4 � G. , ,= G� <br /> 3' /� ' ielephone Number <br /> �afE <br /> Inspecfnr's Signafure $ � � / /z -- � �r <br /> g -- � c�-, <br /> �`—�Tf'"� C�'-H•G'�G'.C'e'' �� �7/ Fee <br /> Dale <br /> DE . APP O LS <br /> i <br /> RemorAt Engincc� /l /� <br /> � <br /> Waler �� <br /> — Slrecl '-� <br /> Communicalions -'�-- <br /> - r�arr� e�f _r.{' ';�, ; ;� <br /> �. _ Planning �'F' `'. <br /> � ""I�OV;�'� 1-Vii . . ._ . <br /> l' - <br /> , �.vITlI WA':CR i f'�iOPLR DRAIN.AGE � <br /> r ' ,,, �; 1'.'tiTER UNE I <br /> _, <br /> � ��,, ,,ction is started. t;�_ �, :�:�: ?,.-cnRF rxrhvAllt�N � 7 <br />