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EVERETT. WASH. <br />. . Approved'By <br />. ��N2� / 7 /y' %� <br />The Undersigned V�� �� � L I 1J D/3 f' (R �r- _ Dafe Approved <br />Hereby applies for permission fo �� �% ST A 75 ���U) .�"o�' D JAMOhl17 f"�A�=�K/t�lr"7 %1� <br />At the following locafion 2�� � �» [ KE F� � L E f� A Vr <br />_. <br />SKETCH A L L � Y - <br />(Work to be donel � <br />r <br />N <br />m <br />v <br />W <br />v <br />� � <br />� <br />� <br />i <br />� � <br />� M <br />�. _ -_.___"_._ <br />�` ._... ' _.._"_ <br />FaF_ p,� �cETt:�-7aarF;� <br />ouT �µ v � <br />� tih �,� <br />N <br />�251 ' <br />. _.-.�.� _ _� ..- .=r_� <br />✓ <br />talloscAP�r��;- G'Ack oF s/w <br />I�OGKEI=ELI...LR. Av�• <br />The und^rsigned owner hereby a�rees to hold and save harmless the City cf <br />Everell from any and all claims for damages that moy arise because of Ihe <br />insfallation and mainlenance of the improvemenl herelo applied f�r and <br />(urther agrees to remove same upo� notice irom Ihe City and Io replace all <br />public property damaged fhereby. <br />�i�,� -�, <br />j+_ ..�,�.-�� r- � <br />: ,.. � � <br />. <br />.� <br />Inspeclor's Signaluru <br />, , <br />.�Ji % F_� C� NG G'.L (�.L.� ��/.j�7.t'- <br />Dale <br />����.. <br />%! i : o <br />�_��� <br />�,., 4p, <br />�IOT� - <br />Tiirtc'r� F�iRNNv^ <br />hlEn�Rs To �� <br />l� ENOVt � <br />Variance Required <br />Yes.......... __ _. .. <br />No....._.__.. . <br />� .,. � . <br />Signalure ol Appticanl <br />. _ . _ '" � . - , . . :�./ <br />Address <br />ielephone Number <br />: � . � � i <br />Date <br />� _ ? =_ ,�-a.�.�� <br />i. � <br />. , .,.,��:,, 5�5-�7: � <br />, '��=- � <br />�.:.C���:r�"'�'�cp�d"`iGr.`Fee � <br />DEPT. APPROVAL�S <br />L� 1 .,'/' <br />Enginec�s-�- /(f • �l �'✓��'.-/d, 7''— <br />Watcr � / , <br />Stmef ' � �_ �� � � %���_ �• T-- <br />��-Commu6icalions � r � i'-i �-'^� `�" � .^' ti^"` � �., <br />Tmflic �%/i _^ ';.: ., . .]^ - <br />, Planning'��%'/( � — <br />. , ' ! -�" ,� (`/I'��rG7� o�%� d ���^A� . . . • i <br />. . �. .. ,. ' [�PrCrY SiGr �� {.,lt�i � ,.. , ..,,, . ,:�. ... . �1 <br />� � , lr r�,, 1J Hou � u foro� <br />i I I . 1 . i . � 1 ) -1 ' . IJ: ✓ . <br />i , ' . . �� � � � 1/ ��� �'C��� ��'.i �! I . .... <br />�� ♦ <br />K��tl� � <br />_ �� � % �,�.2, <br />