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EVERETi, WASH. <br />The <br />h <br />i�pp;�vca •'.'} <br />DaM Approved <br />Hereby opplies for p�rmission to Cs�J1 � R� c� ,Cq � i.' 4 o rV C R�' 7'` , __ <br />(:'�w� <br />At the following locati �n �� K �� F a 4 R f � tJ � l�/'i �S f-o T �- i 3 <br />SKETCH <br />!Work to be doncl <br />..c^'—�— � —•� . <br />.� � <br />1=50 <br />�,h <br />V, <br />�I <br />� <br />M <br />if1 <br />\�/e+Mor�e ,qVE- <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everetl from any and all claims for damages that may arise because of the <br />insfallation and mainlenance of t6e improvemenl hereto applied for and <br />further agrees ro remove same upon nolice from Ihe Cily ond to replace all <br />public property damaged thereby. <br />a�; ` .� ,�-. <br />Inspectnje Signalure � <br />..��e <br />APPROVED <br />� �/ / <br />� [ ^z��Yl _� .e ti_� � c , , <br />t r q�r�� � , <br />Variancc Required <br />Yes <br />No <br />; �;;,- ����.�;a��^r--- <br />/ $ignafure o( Applimnf <br />r .. <br />, i , �. l, .<_. rc.�' <br />Addreis . <br />_ ` <br />ielephone Number <br />��/— c� y — <br />oa�� <br />$ ,rr _ /0¢8iR <br />Fee <br />DfPT. APPROVALS <br />Engincers <br />Walcr — <br />Street __ <br />Communicalie�• � ✓ <br />Plc ining <br />