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CITY ENGINEERS <br />r�l \ <br />EVERETT, WASH. <br />The Undersigned 'QN0,C—rF;iL <br />Hereby applies for permission to L(� <br />At the follow. d <br />SKETCH <br />(Work to be done) <br />_e <br />IE?e <br />-/ CfKE/2 A VEIVUEr <br />The undersigned owner hereby cgrees to hold and sa,c harmless the City of <br />Everett from any and all claims for damages that may arise because of the <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove same upon no,ice from the City and to replace all <br />public property damaged thereby. <br />/VZ <br />1 AatYbved By <br />,4— 1S,CA <br />Date Approved <br />Variance Required <br />Yes <br />Na <br />N. n) Signature of Appficanl <br />5f _Z7���o-,� Bay tfu.t •a" �a/9o� <br />Inspector's Signature <br />iefephone Number <br />I Date <br />Fee <br />_ADEPT. APPROVALS <br />Engineers 64 Oaa ��• <br />Water.). 1 <br />$Ircet <br />Ir <br />Communications <br />Traffic <br />PI,:.iing <br />