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EVER T, WASH. AP J o�ed By <br /> ,.� ���,ti ��sf z�. t �t�9 <br /> ) .. i �, . L � . ,D,�te Approved <br /> The Undersigned l��� ' ` �'��' � �l` '- -' '' — <br /> �:-=1 .'i r'-+--� '�.�",!�','��`' ��� f/`_ 7' <br /> Hereby applies for permission to•"J �'I '' � , <br /> At fhe following locafioqy�� v_ .� �/�L� L- C�` <br /> .:..,�..".a.<��,�,��,.:..:... <br /> SKETCH � �C K�/e � V L. / / <br /> �"/V rJ . <br /> IWork to be donel <br /> I`�., <br /> _. ��. �z.u� �a . • ^��� �1J <br /> �� . ,., , - . � , C�.I <br /> E- .:� -�. '`=� � �� �/C.� v,:r.� v <br /> .;. � _ }.. <br /> r j�, <br /> ti � � � <br /> � m �� — <br /> �v <br /> 4.. <br /> 6� <br /> h ,i �� <br /> _ "_ __ ;l, <br /> \ V <br /> 1 r <br /> ..=�� �._. ._-- C \� <br /> � — - -� � <br /> The undersigned owncr hereby agrees lo hold and save harmless the Cily of Variancc Required <br /> Everett from ony and all daims for damoges that may arise because of �he Yes_.___._._.__. _.. <br /> installation and mai^lenance of the improvement herelo applied for and No..__... <br /> ___............ <br /> further agrees to remove same upon notice from Ihe City and lo replace all <br /> public property damaged Ihereby. '.�' <br /> t'� /. <br /> Cr: � <br /> .^' J��' ��-/" .:�� /`� <br /> I� � ���� <br /> � �� Signafuc�ol Applicpnf <br /> �C � ( � � 'u�lt'c'—t - <br /> Addrets <br /> `'�� ?-. .� �YS�. <br /> �; : <br /> _� Telephone Number <br /> r �+ <br /> , Dafe <br /> �;�<.-S �+ � � Y'r",. �.�7 ,. :'>r <br /> Inspecfor's gnalure �/ E <br /> Fee <br /> C� <��' � <br /> Dafe <br /> / � � � DEPT. APPROVALS <br /> lcJ ��-.,'`r_� ���z t' . � C�<- ,e �,� , ./f,�/ _ �7 "— '7 , <br /> Remc•ks s- `� Engineer � �—��� �—�s_ <br /> Water — <br /> Slreet 0 ��� <br /> J._ <br /> Commumcations�' -' �'=• - v�r�:--�C';/.,it <br /> lmffic "� �'`•:� � <br /> Planni�o , � J — <br /> � <br /> ! <br /> t - - <br />