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EVERETT, WASH�. Appro�ed ey <br /> . � - � Dc�c Approved <br /> �he Undersigned � - , � � <br /> Hereby applies for permission to ' -"'� - ' - <br /> � ' ' � <br /> At the following location��'` � - �'" • �. a<J /—'=" _: "`�� - <br /> SKETCH <br /> IWork !o be donel <br /> I � . � = l.O ' <br /> � <br /> �.- �, . j � r'�7/\/�-. ,C�i{`�"i� '/�, ^-'�__-- <br /> � � .� /G <br /> � f--=- <br /> � • <br /> �,� ; s <br /> � a 2 � � � 2 � � � <br /> ri <br /> l . � <br /> . <br /> , <br /> i <br /> � -�g:�." _ � <br /> � �,. I <br /> � ` * PJOTE <br /> i �, i �iar_t^t< G��m� �,:,;,,��,� <br /> � <br /> '�� � b�:�•� � .,r <br /> i I <br /> � <br /> I <br /> The '.ndersigned ownen c�reby ogrces lo hold and zavc harmless the City of Variance Required <br /> Evcrclt lrom any and all daims for damay^s that moy arise bewuse o( Ihe Ycs ._ __ _ _. . ._.... <br /> in�!allalion and mointenonc� of ihe improrement hereto applicd for and No._... .._ ._._._. ..... <br /> furlher agrces lo remove sart.e upon notice fmm the City and to reploce oll <br /> public property damaged Ihereby. <br /> / // C�7.��/��T'.,. <br /> ` / ` 'µ�` <br /> / / <br /> �r���ti�i t -, �/'N//7p �!r� ; �1c1 � �;�"� i � N d��Y. � <br /> SignaWre ol AppGcanl <br /> / � <br /> `)',�, i'� (/.�i�.� -C'.Ct���,� . <br /> Address <br /> �1� `� ,.s"£:tf�'/ <br /> ��,1 ielephone Number <br /> , .' � ,- �� � � . <br /> j % . , -..� � Dafe <br /> -\',p .._:-�. e� l.�Y`-�t.:.°if'..�.... . <br /> S , ' �' �7. �j0 <br /> Inspedar'Y$ignalure � — , — <br /> � � Fee <br /> i <br /> Dale <br /> DEPT. APPROVALS <br /> Remarks Enginecrs � <br /> � Walcr.�� "_ <br /> $Ireet �. - `� — <br /> Communicalions . -�; ��, <br /> Traffic — <br /> Planning / — <br /> — _----'---_ � � ;�'1�tt 1 I�C/�_;�._.' ..U�I`l ��7✓/�: ::4 �7�� �'�` <br /> 1' . , <br /> +-J�tCI � �-11P1K� a . <br /> 1 `^1 <br />