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tVERETT, WASh. ' Approved ey <br /> C�G,�I/�; .ZE. �i'7/ <br /> � � Undersigned � - � � - � � - � r �� Doic Approved _ <br /> Hereby applies for permission to � ' ___ - — <br /> Af the following locotion " `" - <br /> SKETCH <br /> (Worl; to be donel <br /> �13 c-1 � <br /> % / / , <br /> N� �v� / [ <br /> �- �, � <br /> S � �.�• '�l�" % / )� / / <br /> , <br /> '' 'r / v � /`r <br /> ! 3� � <br /> i� <br /> C\\ 3szN _ <br /> ! JO � /I � <br /> / %��.( / Q � <br /> z� -�� � - � � <br /> ,�' ,�� � � �; ��. <br /> ; <br /> � � � � ; <br /> ; <br /> � ;� � <br /> � <br /> .� <br /> , <br /> �---- - - <br /> The undersigned ovmcr hereby agrees to hald and save harmless Ihc City o( Variancc Req�iired <br /> Everett from ony and oll daims for dama�es thal may arisc because of Ihe Yes _. _.._.._ . __..... <br /> insfallalio,-, and mainlenooce of ihe improvement herclo applied for and ha <br /> _ ._._____._._. <br /> lurthe� agrees 10 remove same upon noiice from ihe City and ro replace oll <br /> public property damaged thereby. . <br /> 1 ..:, � <br /> DSiavc-dn.Y. SiCT1oN . • <br /> �(r�tro.. .�oacz) j._� . ,. ,, , � '�,� % <br /> � Signalure o/�Applimnf <br /> i ^ <br /> � „ � ti so ����i! ��- C , /. �/i , <br /> ' ��_,-'_.....�.=�i.�-'-.�.�.v..r S <br /> r...._ �::( f. <, — 1� ���� <br /> ielephone Number <br /> Date � <br /> § // mc' �it) "/Zy�7/ <br /> InspeUois Signafure <br /> Fee <br /> �l T'/' G/��EG� C/7 6 Zf1�7j <br /> Dale <br /> DEPT. APPROVALS <br /> Remarks Enginecrs–=�... / .�r�'�// <br /> Walcr�;l,���� �j : i r�d.� <br /> Stme1 --- �- � --- � . . ._ _ <br /> Communicotiqps r ��'� — <br /> Troffic r '�' '� � <br /> Planning � �-�."'�� <br /> Call EnPmeering DepL 2598�63 ' �y,�T� __ <br /> 24 Hours before Chi�'. �'ITH LtiATER � f i'�i rID� rOR 1 <br /> cunstrudion is started, y-77 FnR ^,�ATER IINE i c,'ER DRAINAGE I <br /> LCr,.�,i'. . ,:, f�'Ff'RE �"!',1!'nTIQN i <br /> I----� ---- �----. <br />