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EVERETT, WASH. Approved By <br /> , _ <br /> /='i/r�Y/` .r�� ' �' J <br /> TheUndersigned �p`� C�'' L� Y (�r ' '->E�JAT��e: LAhID�+���F'iiv;� '� DoieApproved <br /> Herebyappliesforpermissionfo �N�.�'P` �-- L -r�1/ O �2� I �� GA�.-�/, Wt�TEr:_ L/N�`: <br /> At the following location <br /> SKETCH � � <br /> IWork to be donel W <br /> � U <br /> Ot � <br /> � <br /> m � <br /> WATEF� DEPT. � N <br /> ST'(�EET GkOSSIE•lG <br /> ---- x <br /> 3407 � I„' w <br /> - <br /> , <br /> - -- - 3/4 � <br /> � <br /> �3 ' � <br /> � <br /> �/� J <br /> �R. t�� GAL�/, L/N�= <br /> �uc s�A�:j WAV� <br /> The undersigned owner hereby agrees to hold and save harmless the Cily of Varianre Required <br /> Everelt from any cnd all claims for damoges �hat may arise beccuse of �he Yes . . .. ._.. <br /> insfallation and maintenance o( the improvemenf hereto applied for and No . . .... <br /> _ <br /> further agrees to remove same upon noYce (rom the Ci�y and to replace all <br /> public property damaged thereby. <br /> � � . <br /> X ���% ! <br /> �.Cit-� ✓.( _.;:�..� <br /> Signolure of Applico <br /> � . C;�� 3��14 ��(�.I^ �./� <br /> Addrers <br /> � 3 -. :.� - 'j J. 0�� <br /> i <br /> ielephone Number <br /> / <br /> ,�"�� (� � <br /> Ij�� ` ( I � �l �� � '%,'LA�j l Li l �1 /�r.Z. <br /> A` �' Dale <br /> i� <br /> Inspecror's $ignafure $ NO FE("� <br /> G Fee <br /> s >�•' �i%•-1 r.--�� �.,/,.- = = J�1�,1�v.• /� R��s��� <br /> Dale <br /> _ DEPT. APPROVALS <br /> ; / './� / (ti. � ,. <br /> Remarks Engineer� � =� �_]_.:� � ,�� �. <br /> Waler• ' __�=� !" .fi�i� lf J,� <br /> Sircel S� ' �{,-: �._ . .�A,' _ • t -_/ <br /> Communications�l�S �d'I ;t�•'1/. �'! J�7�' <br /> � � <br /> TmHic :. /: . — <br /> Planning"v�.�/1� L�'"' `/�'._7 y <br /> t:�.'; �n��neering Dept. ?59��eD�� '�PROVICE FOR ( <br /> 24 Hcurs 6oiore PRc�PER Df?AINAGE <br /> � , ,,rruction is starled. <br /> ..____—__.�....�..--^,----�-,-� <br />