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EVERETT, WASH. Approved By <br /> The Undersigned '�- " Daie Appro�ed <br /> . - ,= - / ;� _ <br /> Hereby applies (or permission to - = <br /> At the following lomtion_ 2 7 - - _ __ <br /> i'c::�_ �... <br /> . �--s ��L�_:h r . ._ .... .. ._._._ _ . .. <br /> SKETCH j `� <br /> IWork to be donel �-�'" <br /> DR�s�s��:;�c . _ : tc��i � <br /> (�Jb.-:�CntE) , <br /> I . ��- -- .__ _._._ 1 <br /> 1 <br /> 1)oeT�i � L,-�J,O:�� .,_._ ._ -7�' ' <br /> r�,ao' ; � `�---=i-•'—=--_-"'��ip�- -.__� -••" : <br /> l k-- to� >1 �� i <br /> �� ; ►�.-E 1.�1 C���. - - -- - f <br /> _ ----- � ' I -� nr,o:�;c�FOR----- <br /> �, I�-��?-='� <br /> 'f' � �,C�. N„a,-�r� oRFltr;acE <br /> _- - -,`� ---� -------� (� �' � 1��=-, Cb�1 C„ , <br /> �b� � o� T �, S I D�. �n/A � I� <br /> � -- --` -- - - , � �� f. �.:.� w�j, �� 2 0 � ���w1_ _, <br /> � ��. �.o�J c.. i��W, �' <br /> '; �- � <br /> _- -- �1i <br /> — <br /> 5 <br /> ; ; <br /> The under:igned owner hereby agrecs to hold and sovc harmless Ihe Cily o( Variancc Required <br /> Everelt lrom any and all cloims far damagts thaf may arise becouse of Ihe Yes <br /> installa�ion and maintenance o! thc improvement herelo applicd for and No � � � �-� <br /> furlher agrees to removc same upon nolice from thc Ciry and b replace all � � � <br /> public properly damaged Ihereby. <br /> r / r. <br /> ��., :-� �� <br /> . �J pV" 1�'✓:'Y (� � 1 <br /> � � . . � �Sfgn re ��licanl ,✓� �J <br /> I I . 4 � // � i{4(N7'F' � <br /> � �' } Q Il6 Y �!/u=`�-� <br /> ��� add�e„ <br /> b <br /> a5`� - ov " <br /> Telephone Number <br /> � "` � 1/ " (1tj' <br /> , afe <br /> i9 l-r�-r' �� � , ��.� � <br /> inspeclo7s Signafure( -� § ���"�`— / �C,' � '��j <br /> Fee <br /> Dafe <br /> DEP7. APPROVALS <br /> Remarks <br /> Engineers <br /> wa��� OK. <br /> _ si���i <br /> �, <br /> Communimtions '� � '! <br /> Tmffic <br /> Planning <br /> APPROVt_D <br /> --��- _v_� �;��-�. <br /> �n��cir.ii_�a <br />