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EVEkETT, WASH. Approved B� <br /> �S".%_Fi�1�4c.P ��n <br /> TheUndersigned�� �i J��sc, DatoApproved <br /> r <br /> Hereby applies for permission to ,/��-�T�� C� � �"'� �^I�f��=- <br /> L���✓E►.✓A y - <br /> At the following bcation��� �UGkE� �J Y.� .' <br /> SKETCH <br /> IWork to be donel <br /> --- --- --- — --r_ _ _-� I <br /> 1 � . _ <br /> 2 I `�� S T <br /> �,. PR�os� qsp.�l.4cric co+V'c . o�w _ --- <br /> � � - --- -- <br /> Scri[�1�=`iD -� �—�r:;,—T �-_, r� �' <br /> , _ <br /> -- ' -- ---�_..J <br /> � +- - ------�'-- <br /> �—fo� `n �i � <br /> .i ,,' I I <br /> _ -–_ �'Lo ' I I <br /> ♦ , �� V <br /> y ` � <br /> N �:2/02 , c.; . <br /> --- ', ��-�,r;1: � <br /> Q <br /> 31 - <br /> �'_. . ___.._ _. _ .____ ___ . _— � <br /> Y <br /> � 3O � c) <br /> T� � <br /> .�rl a <br /> a�t - - - ?'y - � <br /> Bl.k �.�L � I <br /> Thc undersigned owner hereby agrees to hold and savc harmless the City of Variancc Required <br /> Everett from any and all claims for damages that may arise becauze a( �he , Yez _. __ . _. ._ ..... <br /> ins�allalion and maintenance of ihe improvement hereto applicd for and - ,})f ,� No,.3 <br /> further agrees to remove same upon notice from the City and ro replace all ./f/"' ��r��--�-�� � <br /> public pwperty damaged thcreby. ..._-.__.. �� �---� j ri ����.J.�S <br /> GBJYC�'AY � sl•CTtON � 7 <br /> .�F;��;.; �- : -- ------: c:,� ._ ., �c�.j, � <br /> .. .5,.�f�iLN � � <br /> ' ' '��tl.�-G�/ � <br /> / <br /> �! - � �;S --. -.-_.— . _�+, � ..SigaoWrc o( Ap�licanf <br /> ��-� -- � ,. <br /> �� '-��' � ��� � % <br /> i o �_o� � --' � � A <br /> 3 „� I" � c�����.C/��/' �:/�� U�[, <br /> ._�r_--_� .I �. . '^-.--.--���P —�J_� � . <br /> ,.____-- ----- ! ` —,�— � ( ' AdBress <br /> Pr� i t------- - - ,�o ., ,��!�� ��rr ';�r� <br /> ); � <br /> , <br /> ( Telephone Number <br /> ---�r�'��'--�---���`-�--- - �. __ �"�' '7_���i � �' ��9�7rJ <br /> - - i; �` <br /> Dale <br /> f> <br /> C�' �' 1 <br /> Inspeclor's Signatur � � (� �� � -z��� <br /> Fee <br /> S/�� �/�rG.C2[,�� <br /> Dafe <br /> DEPT. APPROVALS <br /> 7� � <br /> Remark� Engineers� ^ /9 �O <br /> Waler �1 �•-a-..- j. �..���� <br /> Street <br /> Communications_ - ' � � - <br /> 7raffic <br /> Planninf� � <br /> \ � <br />