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EVERETT, WASh. rpp�o�ca Ey <br /> The Undervgned ' i : �ore Appro�ed <br /> Hereby applies for permission to " <br /> AI the follov,mg �ecation - '/�• ;� " � �� — <br /> SKETCH I <br /> IWork to be donel ;� � r <br /> ! <br /> I �J <br /> � —L� -- - — i � <br /> ----- !'/A�E UR�VE - - <br /> s�_ . - ----- <br /> - - - • -- � <br /> - --- - - --- - <br /> -- ----- _ , <br /> I io� '• � <br /> � � <br /> I 93i0 � I <br /> \ �I <br /> \_ , � / <br /> I /` � <br /> � I <br /> r 1 <br /> � � �% , <br /> �., , � <br /> . � � \' �' , � / !r ' ;, I <br /> l � � �. � -'1 <br /> �'- - - � - ' � <br /> �;,, <br /> i <br /> � .� . , <br /> , :� <br /> The undersigned owner hemby agrees to hold and save harmless the City of Variance Required � <br /> Everetf {rom any and all daims {or domnges tha� may arise because of the Yes . . ..I. .. . ..._. <br /> installation and maintenance of the improvement hereto applied for and '���i)��� r" ) No . . . .. <br /> further agrces fo remove same upon nolice irom tne Ciry nnd to replace alI ;� <br /> public property damoged thereby. <br /> Y.iwAY: �.�.SICTION l� <br /> (ND.'.:SCl1L,^_) .DRIV6\JAY:. SECTION :.: Tr� <br /> tk---— —�� <br /> �y.,. i.,., Signalure of Applicant <br /> �;.t � So" .��"_-., - - - -- -- --',��\VA � <br /> ._4_.... _ ,;:�.�;> — �" ___ -- --- � .ada�e�t <br /> w_. Ws. —� F.L6,_ _�L <br /> • _ �' ? 3C.�,.� <br /> � - ��r-_ .Ca�t.. . ielephone Number <br /> Date <br /> << <br /> Inspecfor's Signalure � �/� ""- ��i�/- <br /> Fee <br /> Dafe <br /> DEPT. APPROVALS <br /> _ � <br /> Remorks [nginecrs._�—_ <br /> Water_� -�t�.�: , /�`� �i- -;' i <br /> _��_.. <br /> Streel_�l - '� - - - - <br /> Commonicalions� j ��� <br /> Tra(fic i2.C.P � r>,��r <br /> Planning _ ��%' <br /> Call Engineering Dept. 259 Be03 ___ �__ <br /> � 24 Hours beiore � , . PROVIbE �OR <br /> Lonstructbn is started. ' �-_. F`Rn�ER DRAI�IAGC- <br /> Cii�Gt WITH WATEf3 � <br /> DEPT. FOR WATcR LINE <br /> IOCATIO'JS BEFORfi EXCAVATION � <br /> —��..o....- <br />