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EVERETT, WASH. — - - -.-App�o��� cy --- <br />/�/_ �JC � � _%�' r ��%L`' <br />� —� <br />• ..., . . . ,... . . ,... . . <br />Dalc Approved�� <br />The Undersigned '�'��` � '! � Ke.M� �r i�:` <br />�.,. .. . +: i.... ... . ... . , . . .., .. . . <br />Hereby applies for permusion to � � rR � 1r'' � /1 D�v�l <br />A1 the following localion_ �� �d� -'-� � iuF �u Nr- � <br />SKETCH <br />IWork to be donel <br />—r-- - - --�--��� <br />.4n <br />._ � <br />The undcrsigned ownen c�reby agrees lo hold and sovc harmless Ihc Cily of <br />[vcrelt from any and all doims lor damoges Ihat may arisc becausc of thc <br />installation ond maintenance o( the improvement herclo epplic� for and <br />furlher agrees to remove ;amc upon noticc froin Ihc City ond lo replacc �II <br />pubiic property damoged Ihereby. <br />�f <br />Inspeclor's $ignafure <br />�S%7 =F �i�,ECi-s_�:7 �`�3��U <br />Dofe <br />i ii Engiacerir�t Oept. 259-F,£03 <br />: H : ic, belore <br />.. ...'J:; ig �/•f�Cd. <br />' i�IC� z'r <br />t ". ; 'villli 4VATFR <br />i.-� ,��-.�'i'i111t.17Ll��f� <br />n) <br />N <br />M <br />3�� sr. <br />I <br />�t � �n �� n- co <br />- -- L <br />Voriance Required <br />Yes... ._...._ . _._.... <br />No..._........... <br />1� <br />� � �2.�y-�.,.�..ti C� .'k....- � _ <br />Signalure oF Applicanl <br />`74.3 �.? L: ,UF,a7�r r n..: <br />Addrest l' <br />�SS' /�/�"j <br />7clephonc 1Jumbcr <br />/ � � ='- 70 <br />Date <br />S �2 °= _-�+- .'' ',n_ <br />Fce <br />DEPT. APPROVALS. <br />— �/�. .- '�/</ �,, <br />[nginccrs <br />�vo��� u•r�'` <br />slreer _,__ <br />Communicaliont� <br />Tra{(i[ �P�S1 C �fEL3 <br />Planning �� y �- - <br />, �':(Ol/IIiE i0R -..._--- t <br />r'lii);'LF; f�f;FlIf�IP.;�E I <br />i i <br />!I I <br />