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EVERETT. WASH. <br />The Undersigned <br />Hereby applies (or permissio❑ <br />At the following location— . <br />SKETCH <br />IWork to be donel <br />- ,_ - - -- <br />�,�— <br />I" - 50� <br />J <br />X <br />z <br />Q <br />l ;_ <br />et G JI_ M1w ___ __._—_ � —_ <br />v� <br />� �. <br />I L5B15 - <br />v <br />� <br />� <br />Th� undcrsigned owncn c�reby agrces lo hold und savc harmless Ihe Cily o( <br />Everett from any and all cloims for damages Ihal may arise because of ihe <br />installalion and maintenuncc ol Ihe improvement he�eto applied ior and <br />hrther agreez to remove same upon notice (rom the City ond to replace all <br />pnSlic property domoged Ihcreby. <br />-__ ..._. ..,_.._...�.._._�_-._�.___..._. <br />... �t� ..': i_ 1Y�.1��...��i 1.�- �� . . <br />� ,;__.___ _,_._..�..� <br />. ... _ .� . . . . .. ��' � — <br />._ _ <br />+ . . . ."_.. i �� _ <br />, . .. _.-. ........�...�..`..__...�. w.�.i. __�� <br />; <br />. _.,_..._..'.-- '-' ..�.1. .. . ..f rn.��..\_. __�.__.� <br />Inspeclor's Si7nalure <br />/,Z <br />,�/T.c` �� ��s_' <br />Dafe <br />�'�� ;'-�R�neerinp DepL 259�8&�3 <br />24 Hnus betore • <br />i:���i;�ruciivn is started, <br />V <br />.�_.�t',1� t , ,�-.. 0:�'7'ION <br />� (t!U .>.^f.LF.:j <br />` "�.�n'.•• .. ,� <br />E ��` •' --., __-- _ .... _.-� _`- / <br />� <br />S � <br />n�OTE <br />('iECK VJITN'J�'Ai[Ft <br />D[PT. F��R 47A7LI< LI�'f_ <br />LqCATIGNS LiEFURF fYCAVA710N <br />Approved By <br />,�1�c_r_'i�/R,«_' � ��/%/y <br />Do�e Approved � <br />Variance Required <br />Ycs <br />No <br />, ' '_ <br />%' , <br />� Signalure of Applimnt -- <br />5-r`f � S . � -� ' , �i`- <br />J L%`�2i'/'n �� %'+6N� . <br />� ���i�. .,�., <br />I a.S� -�/c.S;S <br />� Telephone Number <br />_7. /'t.� <br />Dafe <br />��� � l��r� .i/-:�—c <br />Fce <br />D:Pi. APPROVAlS <br />Enginccrs rr'���-�'�'��y��� <br />Watcr � �"��� �,r. ;r , ,.� � „ .... <br />Slrccl_= � �' " � � '� � . <br />Communicati . �, �'.��... __�i- -. /-_ �._ <br />Traf!ic�"�.�^.�L( L.�l �:-.ZS�. . <br />Plnnr,ing � <br />I �'ROVIDE POR <br />� YRUP�R GR=,IN,AGI: <br />,I <br />. r�' ..r.•-/ ��� � <br />� <br />! <br />, I <br />