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/Z�✓.c;a'i�i`7� <br />Da1e Approved <br />TheUndersigned�'� �--r-T�— , <br />Hereby applies for permission lo �� ,� L'+"' ��"'"i 1J S � t �J-� '- "" S� r'' -- <br />....^ �� i ' "" � � �. <br />At the following bmtion � ( �� r'� ! � � � � .. ti "' ;:: Y`' _ -� ' J'� — <br />SKETCH <br />(Work fo be donel <br />/�,e�,ixsc.: ,.1�,-�r- ;. �� <br />�jp- �.r_;�.� ,.;;-.-� ..3:. <br />I <br />0 <br />- - �cti��i <br />�' y. ; r, �, c;� .� <br />The undersigned owner here6y agreez io hold and sare harmleu the Cily of <br />Everett irom any ond all cloims for damages that moy arise because of Ihe <br />installo�ion and mainlenance of the improvement hereto applied (or and <br />further agrees ro remove same upon notice irom the Ciry and m replace all <br />public property damaped thereby. <br />, � iTF" C.�rCk'�r� � /�-73 <br />Dafe <br />I F /i/ ✓ �T <br />�o S�ti�Q <br />Varionce Required <br />Yes..... ..____. <br />No..._ __.. <br />, ,/��� �' ���z <br />$ignature of Applicanf <br />S��o�(c�' �� �G'h,-c.2� <br />Addren <br />3 Ss-S/�o-� <br />ielephone Number <br />�:1 i � <br />%� —/ �' - ?� <br />Dafe <br />S /� ��� �f",� �"� — <br />'l � Fee <br />s � il« . .� � .� <br />� f._ . . , <br />i �' ` <br />Waler <br />Street , <br />i' <br />� I�l)1�. •- .. , _„ <br />;;;�il f�. _�cu��:, �� � : ,.,�; CIIECY.1vITH WATER ' PriOrER Di�tiiiJi�,�E <br />': H., r; h;i�re UEPT. FOk N'ATfR LINE <br />�����s(�un is started. ti�r_aTi�r;� DEFo;3E EY.CAVATIpN <br />� -+v��n�.- .—�.�.��_—_ <br />� V <br />�`'^'+ AKO�� <br />