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�n r �� n .���r.-,.� . <br />EVERETT, W�SH, ��/ Y r J <br />nnroo.Pd � <br />Q/�..��-�/� �1� -- <br />Thc Undcrsigned � I' ��" 1�` " Dme Approved _ <br />Hcreby applics (or permission lo L O/Y STe 30 � V!:' �_ <br />At thc following bmlion_.' ��•` � � � l= ' •^. l r• <br />SKETCH <br />IWork to be doncl <br />� � � <br />-_._�-- — 1�'� j ---�� —._ -. . <br />n <br />�� <br />n <br />� i . ., ���._ <br />� r - —�-- : , — <br />Thc undenigned owncn c�reby aprem io hold ond savc harmlcu Ihc Cily ol <br />EvcrMt Irom any and all daims lor damaqcs thoi may orise because ol ihc <br />inala�lalion and main�enancc o( Ihc improvrtmeN heroro applicd lor ond <br />(urlhcr ogrces �o rrmovc same upon nolicc Irom Ihe Cily and lo replacc oll <br />public property damaged Ihereby. <br />�;i)`'„ <br />ly G�+I+Y. . .S�c <br />(N�D- SCALC� <br />�PD,.i � . io". <br />'�'• __�:_�� --- <br />�t---"'_'_" <br />Inspeclor'� Signaluro <br />`� /T� �/�.�G.%,G.i `� -/y� -%/ <br />ooro <br />Romo�ki <br />-- - .—.. .-- � - — � - � -- - � <br />t.�u i�u�inecrinR UepL 259�F�ai� pROVIDE FOR <br />2A Nour, hclnr� ��HOF'En DRAINA(iE � <br />r��n;lturhr.n r �-' t � <br />� <br />m <br />Varmn<c D.cq����rd <br />Yc; <br />IJo <br />, . � , �_ � <br />J/ l � I <br />��� r / . �a �', 1 �� � -.I .' . <br />Sipnoiure o! Applhonl <br />/i � ( d 1 <br />Addroie <br />.� <br />/��'J i / i� J�� _ , <br />Tnlrplrcnn Nombor <br />l�� ,i . <br />i <br />Dale – � - -- ----- – <br />s � �, °� -�.+�- � � <br />�nn <br />�dP! /�PI'C�)VAI', <br />Lngine[ti ���/.1 <br />Woler�.:.1���'`_ <br />�V` Slnell..�.�,�..+.._ <br />� r� Communicoliunl ;:��'. <br />Trolfk <br />Plnnnina � <br />' Nb7E --�i`� <br />CHCCK WITN WAtE1t <br />DEPT. FOIt W�n �, , ��i� <br />L(N;AYItlN$ (i' . - . <br />e <br />�; <br />