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/ <br /> EVERETT, WASH. �L � nPP�o���d ey <br /> ��,�4 �./�70 <br /> �/,, /;:� f /,, .. - .r �, •:. ^_,/ Dale Approved <br /> The Undersigned� <br /> i <br /> Hereby applies for permission to ��,���' � S G o�-/C. '.7 C: i i f' <br /> At the following location .�> L 2J `�N��G'� �' �� <br /> SKETCH <br /> IWork to be donel <br /> // /O 9 <br /> 322 S <br /> �iUTE � � ,� _ . ���� �..��i. <br /> %',yECif LDG ;`" � ._ ��'-'� � <br /> �� _.,.1''-1?/u - , . p <br /> ���orE�� <br /> PaGE Ta .�E f�Fl,-��G�,-�.' .,�_ . <br /> DldNC-'A"'� .'`-,�:' �•' �%- � �f. , , r ]c P-'i,-� <br /> �✓�GG-�S.C1�C-�� ti -,''i-� . . � � ' . <br /> . � 59.4 -------'--- <br /> I%-� <br /> 8¢./9 �-- "� _ <br /> �/e <br /> _---� CpIJC' D�/ � <br /> E A �EN�E G! <br /> sNo� � <br /> ;; <br /> .,, - <br /> The undersigned ownen c�reby agrees lo hold and savc harmless thc Cily of lh Varionce Required <br /> Evere�t from any and all claims for damages that may arize because of the (h� Yes <br /> installalion and mainlennnce of the improvement hereto applicd for ond No__. <br /> further ogrees to remove zame upon nolice from the City and �o replace all -��-�����"���---�--� <br /> public properly damoged Ihereby. <br /> �k4..t�.�, 171 N�`-<��L ��._ <br /> � �� 1 ��4, . 5 1�1 ° C �„-1�� <br /> Signofure o( Applica i <br /> ,7�'�(9 s6T�. De �r. <br /> i��y�—�1 4-.. c�=�r-r v- e �U/7 <br /> �a i �3;y Addrest <br /> ��"�-�90� <br /> zse+ - �•,�3.< <br /> Telephone IJumber <br /> �11�� y /} /1�7CS <br /> Date <br /> Inspecror's $ignalure $� 7 ��� `JO <br /> fee 1 � ;j C�J� <br /> �T.� CH�zC.eF/J �'�y'�7� <br /> Dale <br /> DEPT. APPROVALS <br /> .L��CAT'/D� �li= .�.�%!/�falfi/�� �G/�/SrJ ���...��7c"' 9 � � 6�9��� <br /> Remorks � En ineer5 <br /> Walcr 1 � ,: � 4�/1`R <br /> Stmet <br /> v <br /> Communicolions ����-��'G +� <br /> Tra((ic <br /> Planning F�f�� ' <br /> � � ��� ! <br />