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LI11 '-- �� �� .Ll <br />EVERETT WASH. <br />The Undersigned <br />. .'�'/r :'i . . � : _ . <br />�proved fiy <br />14 M ��, l4i�r — <br />Date pproved <br />I� � /3G�"'�Df � GT•e.� � = % � � 'Orf 'Y .0 /.;� �=.= �' — <br />Hereby applies for permission to f� � <br />� � <br />At the (ollowing IocaVion �-� T � 3 '�/�G � /�G�s's - <br />!��' 2B G�/ /���✓ �J2 — <br />SKETCH <br />IWork to be donel <br />� _ �_ <br />i ' <br />I �B•15 <br />� _ <br />'N <br />/ <br />E�,1. ,o <br />-- --- - O w - <br />�% <br />� , 'v <br />� <br />The undeaigneo owncr hereby ogrees !o hold and save harmless ihe City o( <br />Everctt fwm any and all daims for damages Ihot may arisc because of Ihe <br />�n;lallation and mainlenuncc of ihe improvemcnl hereto applicd for ond <br />further agrecs to remove Same upon noti<e irom Ihc Citv and lo replocc all <br />public ,^.roperty damaacd thrreby. <br />� <br />j�l—, — --....�� .> <br />Inspeclor'i �Signalure <br />i � <br />Dale <br />\ <br />� <br />�R� D fi�t'E� Tc <br />�E!' U�;TI/ ASpH <br />�.f:_� <br />i„ ; <br />,�� <br />Variancc Required <br />Ycs. . ._ .._. ......... <br />No....... _.._.. <br />Signofurc of Applimnl <br />4�idress <br />7elephone Number <br />Dole <br />$ <br />Fec <br />CEPT. P,'rPROVALS <br />Engincc's��-,�'.�l Q�"� "� ""` <br />%1.Wotcr <br />Slreet �.�� r�f�.,�,• / � �_ !). <br />-�- ,�1 , . �� <br />Comr.mnica,t�i ln•-•��' � <br />Traf(ic.—,�'` Y�� � <br />Plcnnin� <br />7�. � lt w� �u; `' "/ GcJ.+�� i l��Y`� ��-�r �� <br />i—�vr�t., <br />