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C Y ENGINEERS ,, � - <br /> ' i <br /> EVERETT, WASH, pproved By � <br /> ��� r ��� � <br /> The Undersigned � �� '—"' L '--J - - Ddte Approved _ <br /> Hcreby applies for permiszion to R�J/GO ,STF'PS � f[E�'L.9GE f��t.'T/'�/�f iF .�-_'!'IS�/N; `i��6W�4LK <br /> At the followi.ig location-�G � � 'C � `= '` "' � <br /> I <br /> SKETCH ' <br /> IWork to be donel SEVEN/C/-� <br /> 30/¢ <br /> pk cr��s�U •,rE <br /> -- i i �.__/_J ./_.!J_1��1_..l�L1..11_1Lt -- — -- <br /> .�-- coMMUNic.�T'/oN5 c-oMDviT <br /> — - -___ — _.1�':' �-�--�'�- -_-_---- - — <br /> — ---- --- -- - --- --__..----- -- — <br /> --�----------P�oz L� �,�Es;n,ed�is n/ L/�f/%i�/� Ca�JO[1/T <br /> ?F �;.��✓,yc� <br /> 6� <br /> �Ucf�r'`� A V�`r�/��� <br /> Tlie undersigned cwuer hereby agrees lo hold and save harmless the City of Voriance Required <br /> Evcrcu from nny nnd all daims !or damages �hol may arise bemuse oi the Ycs. _. . .... .. .. <br /> instollation ond maiMenance of Ihe improvement herelo applicd for ond No.... . ._... . . <br /> (urlher agrees to remove same upon notice from the Cily and lo replace all <br /> public property damaged thereby. ' � <br /> .� .: . i// , :;y �� � � . <br /> .; ; ` <br /> r ;_ , �� �j 4."' ' * ���r;,;.z / <br /> , --,��_, '= <br /> ..h(-./) �•�Y'� �r...j�+. • �.. �Signalure o( Applimnf <br /> . r=> ,?<'-7�? <br /> i^ <br /> � � _.:_I� . . <br /> C. .; K WITH 6VAl EH Address <br /> i�CFi. F,^f7 �;�i�l(Ii LII'h <br /> � <br /> '_uLl.', .. , . r�.. . . <br /> 7elephone Number <br /> Dafe <br /> Inspecror's Signolure 5 <br /> �� Fce <br /> •S'ITi� �'ilEG".�cJ %/."L�7C� <br /> Dale <br /> DEPT. APPROVALS <br /> �i , /.�� <br /> ��Xl�l� i-Y /:c0 74 <br /> Remarks Enginccrsi,=,- - , ec- <br /> Water �� �,� ' <br /> Slreel_ � � � - `� ` � <br /> Communimtions �' '� �' ` � � �� <br /> Traffic <br /> /��+r'� <br /> Planning <br />