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EVERETT, bVASH. <br />� . � ' `..J�'✓H ��/�...�i�.i, <br />The Undersigned . � � — <br />, , <br />Hereby applies {or permission to �. � l �� / / — / �,r <br />� <br />�..'�� r _ _-,. -� , � �-, .c �. � �y <br />2 _ ��'- Kr"/� <br />At ihe following location �� �� ' ` � ` <br />� <br />Approved By <br />��v.-- �� / 97 � <br />Dolc Approved <br />Inc unacraiynca �..���� �����..� ..��..� ... . _._ "'_ __. _ __ ' <br />EvereN from any and all daims for damagez thal may arisc because of Ihc Ycs .... ..... __. <br />installatian and maiNenoncc of ihe improvement hcreta apFlied for and No . .... _.__... <br />luriher agrees to remove same upon notice from Ihe City ocd la reploce all <br />pablic praperty domaged Ihereby. <br />/l,�_.'. �.���j���. <br />.'�_, -7.. <br />� `, <br />Inspedor'S Signalurc <br />�, <br />/' h : <br />. ,;% <br />;. <br />.._ , <br />�lii` C../�i�c::h%C� �ii:�/i�.� <br />Dale <br />. , <br />L I L L' L�. lw � <br />,i <br />,. __ i�`r/u..;�%�� <br />� <br />�., . , <br />�(�r(�/fc.c,,.�c(,1. • J.l �. <br />; `7. ..:/i��,= <br />C` . . ..� _,- . <br />� , ) <br />, ., �� <br />` � % _.�J../'� �l � � i `%'' ` . . <br />-�•� : <br />I <br />�� � �;i�L(.� ,.,� �..,,�,y h ;J <br />$ignalure o( Applicanl <br />7/� �� t r,C �.l�C;L <br />Address <br />i 1 � .' .-� — :'� J <� `� . <br />Telephcne Number <br />�.,.<.� �2��� cL� <br />�o�� <br />5 <br />Fec <br />DEPT. APPROVAlS <br />�� �� ' �U i <br />' / � ; c <br />C.nc�inccrs <br />Walcr 1-�� �. <br />Strccl�� ,�i(-;'1-)''Y.�.-�. , <br />Tra((ic /� .`�r r <br />Planning �F' � • – <br />: r ; ^ <br />_ r <br />i '�, I' , i.� .. .. r. ' <br />/ ', L'.f.i,t.� <br />; �I:.+;it' L �<= � � <br />f7 � . < /'`' <br />