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_��f i_�d�-I.tE,._ J -(.'-�v.L't/ v� v.Ul,a_`�_„'' <br />Appr6�ed By <br />EVERETT, WASH. � <br />q�r�� i5, 1rtCo� <br />� � �-' : . � y � Datc Approved _ <br />The Undersigned " /1 �� ' � ' ' <br />: ` 1 //�� / �f J /✓ . <br />Hereby applies {or permission to— � <br />i f ' .�,j �,i�� . 'F.�:�. -'�/',�i�'r - ✓�!.'..i�i- � - <br />Ai ihe following bcation�`�`�� � � ' `�'� � � <br />SKETCH <br />IWork to bc done) __..,r--�� G ----��_ <br />S�A�_ - � �_ - <br />� �'�E S T <br />___�.,_�= <br />I <br />,�_J��3/8 <br />i <br />I.._ <br />�s <br />�\ <br />�� <br />V/E w � <br />PNdLT CcNC. <br />�Li <br />Thc undcrsi�ned cwner hereby agrecs lo hold and savc harmless Ihc Cily oI <br />Evcrett f-om any ond all doims lor damages thal may arise because ol Ihc <br />installalion and maiNenance n? the improvement hereto applied for and <br />lurlher agrees to remove snme upnn notice from tl�,e Ciiy and fo reploce all <br />public properly damaged Ihercby. <br />� ' � - �—=�= <br />Inspedols Signalure <br />_1 <br />Dale <br />:E i.�'E f? <br />Vmiar�c Roquirod <br />Ycs <br />No <br />�/% ..'...,"� , <br />$ignolure of Applimnf <br />' --t.,y�• !A . t f . � G; r_" :-i�", � _� � �L <br />' ndd,��, <br />�l ,� � �C �� <br />7elephone Number <br />�• / tl , /�, `f <br />Date <br />s L-��� �,; 3 –'�'i'D ,–c� ,:� <br />T- <br />Fce <br />DEPT. APPROV�L; <br />Engmeers — <br />Waler "- Y / .tp.-. . _ <br />Streel _ ,I <br />, �k_• <br />Communications - �� -4 � � 1 <br />iroific <br />�:annii+� ._ - <br />