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EVERETT, WASH. F��F� °"0� ay <br /> �t :,; , .ii,. : _ <br /> �..--�;',/� f. ' - . � � , ../ .. ,�,,.;.! �� y- Datc Approved� <br /> The Undersigned % <br /> Fiereby applies for permission to ' • � ' ` ' ,�' , �,� ' � ' ; ff�T:; , � � <br /> _,� �. <br /> �� — <br /> " , : /', f � - %� _ , <br /> 'At the following lom!ion �' `f — <br /> SKETCH <br /> IWork to be donel � <br /> .,�! _ . . ._ . <br /> --- - - -- - -= - -- - � <br /> — � I <br /> � � I <br /> I _ // c-, . � _. . •� '. " ' _ � <br /> , •� <br /> . � /i' ._'•' <br /> <1 '; \I ' <br /> i . 1 + <br /> w -3 � <br /> �� -------� ----�v i�Lf-� �_, ; , � -. <br /> Q � � <br /> � EG_ � �' �� <br /> ,� ifr� � LL I . . , , <br /> � . a I <br /> I <br /> <� _ C-� � <br /> I � — —'---.�..-- <br /> i � <br /> � � <br /> i \' <br /> i � l�1 <br /> f 1`. <br /> � -- <br /> � � I <br /> j I <br /> Thc undcrsiqned owncn c�reby ogrees to hold and savc h�rmless Ihe City e( Vu:iancr. Required <br /> Ev:rett (rom any and oll doims (or damages thot muy orisc becausc of Ih� Ycs _.. <br /> inslollation and maiNenoncc of the impiovemcnt hereto applied for ond No . <br /> furihcr agrces lo remove samc upon notice from ihc City and to replace all � - �- - �� <br /> public property damogcd ihereby. � r�' 7TE <br /> r, <br /> ..i; !'�'('�i �+7lITG� <br /> r. FG�i 1. ;i='; _�NE L - <br /> �':'.i.i'IOfJS L'�fl��iE EXCAVATION �u,.� � /( �' ��Y <[i,���. <br /> $igna�ure ol Abplimnl <br /> -,• ..� . <br /> ��� _ ._ —__._..... _�lf :�/ • ���1 (�� . <br /> �. � �'i�OVIDE FOR Addres� <br /> � ��OP�R DRalf�r,�GE <br /> Ci%( „ � , - <br /> i � ielephorr Number <br /> �� ----^ .__r-,.�-...._ <br /> i � <br /> Dale <br /> r �1,. yt (I �_ ,.\-1�-�,.c .,�/4. . <br /> Inspecfoi s Signature - � $ <br /> i � <br /> � ; � Fce <br /> =-L= '� y� -- <br /> oo�e <br /> DEPT. APPROVALS <br /> � J � <br /> i i! <br /> Remorks Enginccrs ' <br /> Walcr ` <br /> _. _ Strcet ° ' � '� <br /> Communimlions 1' •�-�� � � `�"�! ' __ <br /> Tmffic � <br /> Planninr --_ _ <br />