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EVERETT, WASH. � Approved By <br /> �/ .'2/:,- �� � � /,Ci .. <br /> TI e Underigned �1�A I'/� �J r, � f;��=/_:r�! _ �aie Approved <br /> Hereby applies {or permission tol aNST. /a Z�'� � U�J _ __ <br /> At ihe following lotation 3�D y— !�1 V .F.. D,P_ • _ <br /> SKETCH / / <br /> (Work to be donei <br /> i � <br /> � � <br /> i <br /> ! <br /> ;/ � <br /> � � <br /> )' i <br /> � � ------ , i <br /> '� 50 3�CT ; <br /> �' � G / 9 <br /> , <br /> ;% � <br /> `--------- --`._ .. _.... _ u+. �'C � ._ <br /> WAvE c�R . ,,, �� <br /> __ _ . _ _ _ __ . _ J <br /> u <br /> � <br /> � � <br /> The undenigned owner hereby agrees to hold and save harmless the Ci�y o! Variance Required <br /> Feretf from any and all daims ior domaga thal may arise '+ecause of Ihe Yes . ._ .. � <br /> ins/ollalion and mainfenance ol the improvement hereto opplied for and No ... . . . . . <br /> (urlher agrees �o remove same upon notice from the City and to replcce all �� - <br /> public property damoged Ihereby. <br /> � <br /> $iSnalure oC Applicanl <br /> Z Address <br /> � ��, .��- � � ;. � <br /> ���� /'I/ ielephone Number <br /> (.���� �'�j � :_� _ . <br /> ��1`, `� Dale <br /> `I.1/'L'y� ? p <br /> o� �� � <br /> Inspe:for's Signafure E �� � , �,-� , <br /> ,, i <br /> �_-��,- '_� Fee <br /> .$�/Tc.` ��i:��C'-'E/_� / �— <br /> Dafe <br /> DEPT. APPROVALS <br /> Remarkt Engineers r�` w-���ut/�' �/�'/l L <br /> Waler /,���. ,i� l <br /> _ Sfreel — `y ��-���� <br /> Cummunimlions � �j>'�!~_ - <br /> Tmffc .:�� �.1-.^ ,^. , �" - <br /> — —' --_. _. Planning l�H�� _5—.. �y- 7Z.. <br /> � . .. (''�. .. . . � ` <br /> .. . ' i�' . [-; ...i�._ I <br /> � , _ . :.. . . . �liC - . . . . , . <br /> .. . . � . . i (�� ..i.':. �� <br /> � I''_:�T. f C • , <br /> I.00A1 tDr,' <br />