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CITY ENGINEERS <br />EVERETT, WASH. <br />c.�-�`' L._i /". <br />� aPP.o�ed ay <br />/ //- �f'/�'//��7�GJ <br />The Undersigned T'' �'j E` F � \% � i) A S� L�= Date Approved �_ <br />Hereby applies for permission to �' �'�� y�� �� I�� L�In/ <br />At the following lowtion �� n I- 'r' (1 r V F/2 A V� <br />SKETCH <br />IWork to be donel <br />!":q0 <br />�_ � <br />F'.'J Ck:'�R <br />The undersignerl ovncr hereby agrecs to hold and save harmless thc Cily o( <br />Everetl from any and all claims for damoges Ihot may arise because o( Ihe <br />inzlallation and mainlenance of the improvement hereto applied ior ond <br />(urther ag�ees ro remove same upon notice (rom Ihe City ond ro replace all <br />public property damoged thereby. <br />Inspecfor's Signafure <br />:�/T/' l., Ht�G.E'%-i ) ��� /%✓ <br />Dofe <br />C.iU tnhmcerin�; Dt:�pt. 259 ScC��, <br />24 Homs betore <br />construction is started. <br />PROVID[ <br />PROPER <br />�\�✓E• <br />_MAINT�i/N .Z�ClE�1(ANCt <br />� Frt�r� PowF�c; I��F <br />� _ <br />,.• <br />� I � <br />--� - ,----- - -� i ; <br />I � � ;' <br />� <br />Voriancc ReOuimd ' <br />Yes. _. . _ . . ... _.. _.... <br />No. _._. ___........... <br />Ln <br />�;`, } <br />%L�l, <br />--f_oH ---- <br />ORAINAGE <br />;, �� - � <br />, � �.-_, , �! ` <br />„ <br />_���', �'1: ._�=/) - c .,r_�.<<t�_ <br />$ignalure o Appliconl <br />/ .,� <br />i <br />r7n 5 �^ ��� �7 �- � �> �ii'��f <br />dres� <br />�. � - �'�. � t' � <br />ielephone Number <br />Dale <br />, <br />$ � - .la+�*�-- % � _ . <br />Fee <br />DEPT. APPROVALS , <br />,ys . �,.�,f'%y'/-� <br />Engineers _y � t� {'- < <+ � <br />Watcr � � -. .. � !/- //- %/ <br />Slreet -"- '- "---'- � <br />Communica)iont -� <br />Traffic. ^'t' -�f � � i — <br />Planning ?� N -S — <br />' f�lO?F <br />CHF.CK 4'�Ilf!';;�;iih <br />DEPT. f-t)h V'AIIR LINf_ <br />IOCATIONS BEFORE ExC:A'," �� <br />