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EVERETT, WASH. Approved By <br /> The Undersigned � � i�' ' T�✓ Daie Approved <br /> ,�_. <br /> , , ✓ a �, / - <br /> Hereby applies for permission fo �' �•-�f'� ��--��'-f r' l-' -'� % " '� �' � . � i - <br /> �= � ' � <br /> / ' <br /> /-;: ,�.' ,^_[_r��.� <br /> %� �� �— <br /> At the following location T-��'`��- r'� �- -��%�.''� =-� ..___—._ <br /> SM.ETCH <br /> IWork to be donel <br /> � i il <br /> � ---------- i <br /> __— -- <br /> ---------- <br /> I _ <br /> ro W I� <br /> i , 5 •+/1 <br /> . . __ . . . . . . . ' '� <br /> � -- --- �� �C � C.� <br /> Sc.�4cE ; • 4-0' � �r: <br /> 19 i <br /> � �� .. <br /> -------- ---- _ � i (�� <br /> ii I � � <br /> 18 � � <br /> --- ---- ---- " --I I � � <br /> � �j"F�'v/�f //15/D� Si✓cWQI. �` � \ <br /> ----� Il H�I � Ij <br /> � <br /> — -- - fENcE ��_1 ' �I �� <br /> _ _i � I � �I <br /> - 72 " H/GN - 5- � <br /> , CEDA � PJ_ � � <br /> �/ ='r ST�.�EcT <br /> Thc undcrsigned owner hereby agrecs to hold and savc harmless thc Cily of Voriante Required <br /> Everetl from any and all daims for damages Iho1 moy arise becausrt of Ihe Yes _..... <br /> . .__ _ ..... <br /> inslallalion and mainlenonce o( ihe improvement hcreto applicd for and No ._ . <br /> ._._.__...... <br /> furiher agreez to remove same upon notice irom the City and lo replace all ��( <br /> public praperty damaged thereby. .I� <br /> �y�V <br /> i p , - <br /> � �oy �a�' ,-� " �; - ---�'� <br /> 1�; P,� �,� ����-����� ._ -y,,- � � <br /> . i I.� / N � ' /j �'� � Signolure ol Applimnf <br /> 7 � <br /> .��, � ��� , ��,,� � �,y ����,��1 _,� - -i! _: _ ;�';�� , <br /> ^ ' �' Address <br /> ,��i� � �y�IU <br /> � ,,,�� ��� �,� _� ,�. ,, 5= <br /> ��V / n ielephone Number <br /> � � `� - _ . � �. <br /> Dale <br /> Inspector's Signature $ <br /> Fee <br /> .5�/TF CNec r.=� `''��=3�'c� <br /> Dofe <br /> DEPT. APPROVAlS <br /> Remarks Engineers <br /> Water <br /> Sh�e1_ <br /> Communicolions <br /> Troffic <br /> ____ Planning <br /> - ..� <br />