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EVERETT, WASH. <br />App�c,ed <br />_ - '-.��j.-;,.'.�- �e .� Date Approved <br />The Undersigned ��" �� — <br />Hereby applies For permission to ��? 1� � /^ = � "/=� ' � l = " ' - '' l - �' "�„ �j � ,Y <br />i, �:/�/ <br />At the following location <br />SKETCH <br />IWork to be donel 'a Fl t[ �y <br />N <br />111 <br />w <br />J <br />J <br />c <br />V <br />�. <br />���� GAR/�C:= <br />_Or✓/'✓�2 t.v'i�� �._,.:':�r <br />.ti/[=1;%TG%<'F_'S C�_ �?Y/ r�� <br />I14 p,POPc/�Ty O��'r:�EF_', <br />�,. ,; rl � _ <br />0 C; :.. . <br />The undersigned owncn c�reby agrees to ho�d and save harmless thc City of <br />Everett from any and all claims for doinages Ihol moy arise because of Ihe <br />inslallation and maintenance of thc improvement hereto applied for and <br />(urther agrces lo remove same upon notice irom the City and to replace all <br />public properiy damaged �hereby. <br />/��jyc/Fc; j /.�� <br />���� /i P�c/��'% <br />f}y,.� ja� ���t��vci <br />��� />� <br />InspeUoi s Sf3nalurc <br />Voriance Required <br />Ycs <br />No <br />. .. . _ .�, .`���/�._ :.�,-„��,s. <br />., . _ - 1 <br />� �, < c u ;� ,�,� , <br />l�� ` Signalure o( Applicanl <br />�,c��,� ;, �,.. � <br />?� , ��--, �— <br />���: �_ '� � :_�,<<,/._. <br />�%� is � Address <br />, <br />;�� �.�. �, / !-.,., s _ , � „ . ,�; . ;, <br />ielepn�.m Numbe��`�" <br />Av�vs� - 2� i99� _ <br />Date <br />Fec <br />DEPT. APPROVALS <br />Engineers <br />Walcr <br />Strcet <br />Communicalions— <br />Traffic — <br />Planning _ . - - <br />