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The Under;iyneJ _ " �� � <br />Hereby applies for permission to ��'�:� - <br />At the following locatiun � _ <br />�� r, <br />`���.cen��;a��� '�-2, I����i_ <br />Date Approved <br />- — ---- --- <br />� �!'(J � � "L= <br />SKETCH --1-- --- ----- -- <br />IWork to be donel <br />��� �--- <br />-- -------.. . _ . <br />- - � .� <br />I"- -,:- <br />=-; �'_ <br />� -, , � - <br />�`_���(�_ _ <br />� G'UNl'.. .JC'i Y'G'r:. . <br />8 I <br />--� - --. .. _. 1—_ <br />The undersigned owner hereby agrces lo Fold and save harmless the �ity of <br />Everetf 6om any aad all doims for damo�es thol may orise because of Ihc <br />inslallation ond maiNenoncc of Ihe imnrovement hereto applicd (or ond <br />(urther agrecs to remove same upon noti:e from the City ond to reploce all <br />public properly <'omoeed ihere6y. <br />� <br />����/<- ,�, !_ �i <br />�� �;2-5��7�- ,�%•��.:_�/�� c��.:���, r�'���'��- <br />i� � '�%G � � � L io 7 : z�? � . <br />_I/Y'�/�J ' I <br />� � . <br />'�;. /,- ��, ]t��C�C'C� <br />,- / <br />Inspeclor's $igiolurn <br />Dafe <br />Vaiion<c Requircd <br />Ycs <br />No <br />Signolure o( Applimnl <br />Address <br />Telephone Number <br />Dale <br />5 <br />Fee <br />DEPi. APPRCVAlS <br />-1�..�:5:�'� �Enginccrs��[-�c1�w�l,��i ��?'`�'.-`:���y_ <br />Water r <br />Slreel <br />..�� , <br />Comnunicationt - - � "- <br />Tra(hc <br />Plnnning <br />[ <br />