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E✓eRETT, V✓A�H. '_ - —" %�i�:.�i-
<br /> Approved By
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<br /> The Undersi ned - � �:F'. < - ��"':�f .5 /�,/ �
<br /> 9 � -F�i ' Date Approved
<br /> Hereby applies for permission to_ - = L -
<br /> At the following location_ �� �Lr - �_' :'� � : ',' ' A ✓
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<br /> l`Nork to be done) �� r•-�d—�---
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<br /> The undcrsigned ownen c�ieby agrces to hold and save harmless the Cily of Variance Requirrd
<br /> Everett from any and all claims for damages Ihat moy arise because of the Yes .. .. . .. ...
<br /> installation ond maintenance c( the improvement hcrelo applied {or and No. .. .. .
<br /> (urtber ��grees to remove same upon notice irom the City and to replace c" '� ' -j � � ---- -----
<br /> poblic property damaged thereby. '-S����' � /-
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<br /> ,�_ ,_, Date
<br /> Inspeclor's $ignofure $ �l y G�`� . �
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<br /> Dale
<br /> DEPi. APPROVALS
<br /> Remarks ,T�� ' /�
<br /> Engineers '% '�._3/7i
<br /> Water �"%� �•�7 -- S�7/
<br /> Stree1 �--� � ---
<br /> �-Communiml'ons Z�/c3 L^2.(����
<br />� Traf(ic Y" .'� i i_,., . :� �/� �/
<br /> PlanninA
<br /> Call Fngineerinp, Dept. 259 8803 ^�'�0�/�DE FOR ` 1VOTE
<br /> 24 Hours befn.� � =• E� ��RAINAGE� �;�iLCY
<br /> construction is started. W�TF� WATER
<br /> i � �?"PT. FOR WATER UNE
<br /> lOCA1l0��S �EFJRE EXCAVATION
<br /> ,..� �1E <lic�� W�7f� �'smn'1
<br /> d�'f��Y LdN.S�` Zfi"J—S�SJB
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