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EVERETT, Vv'ASH. <br />The Undersigned j/��"-�''�' —'� i''�� � <br />` • <br />Hereby applies fer permission to � � � °"�� � - ' ' <br />At ihr (ollowing <br />SKETCH <br />IWork to be donel <br />- --- <br />r__ ___..._ ._.. _ .� _.�-.��--_�_ <br />_ -- !". <br />__-- � 7 � <br />... � . � � �� : �(� % �� � �-.- <br />The undcrsigned owncn c�reby agrces lo hold nnd savc harmless Ihc City of <br />Ev�retl lrom any and all cloims for damages Ihat may arise because of Ihe <br />inslallotian ond maintenoncc o( Ihe improvement hereto opplied for ond <br />further agrees lo remove same upon netice from ihe Cily and to reploce all <br />public properly damog d therpby. <br />,.���,;r_ � c .;7 <br />�;��_r�'��� • ' :�1�._C' <br />�� <br />� _ -°�,+�' i. <br />: rc.j � . �� VLL���� -�r� cAL . . <br />r � <br />^ I O l_,,,cf% G''r, y,,, �� � <br />'/' /—''�`% o .. j <br />".,�� ?� : ',� . . • � ,. . , . i . <br />� . ". <br />Inzpeclor's Signalurc <br />Dale <br />C' i <br />�� <br />A�pro�.•:d ,yy ' _� <br />�-, <br />��i�'c.�=il"1��'ci- �:� �:�i_1 <br />Dote Approved <br />� <br />� �.� . "_t. .. ,. <br />r <br />�oL_ /i <br />2 <br />Variancc Required <br />Ycs .._ _. . .... <br />No <br />Signaiure ol Applicont <br />Address <br />Telephone Number <br />Dolc <br />S <br />Fee <br />DEPi. APPROVALS <br />i ') � <br />q.ti''. /=,.4z4 SEnc�inecrs � a . C� � <br />�.-i.,� <br />Walcr <br />Strcet _ <br />Communications � ,:..i � �� ��� <br />Traffic <br />Pianninc� <br />�' , . <br />