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,.f <br /> -� _� �`-Apprcved L�. <br /> EVERETT, WA51-�. <br /> , <br /> �i:/l i� � '�/�S 7/ <br /> Date Approved <br /> The Undersigned i 1 f� � - 'f ' <br /> - :'J <br /> Hereby applies for permission to <br /> At the following locafion `� '� J���� ~ ��� <br /> SKETCH � <br /> IWork to be donel _ <br /> f II�L�i � _ <br /> 4.. �-`". �� <br /> / �~ ` <br /> t�v� i <br /> �;;;�_ � <br /> �-- �i;�- <br /> '"� jl—�� �Q ,: r.r'—_ <br /> / ,ph' <br /> �, , � n��� <br /> i' %/ 0 1v Ld;t�F fl- _�---_ <br /> '-' �.j� �z o P�� ._�------' --_ <br /> �ii <br /> D� <br /> � <br /> I <br /> . <br /> / <br /> / <br /> Variance Rcyuired <br /> The undersigned owner hereby agrees to hold ond save harmless �he City o( Yes. _ .. <br /> Everett from any and all duims ior damages Ihat moy arise because of Ihc --� ��--�-----��� <br /> installation and mainlenonce of the improvemenl hereto opplied for and No ...__ _. ... . ....... <br /> further agrees lo remove some upon notice irom �he City and lo raploce all <br /> public property damaged Ihereby. <br /> � i�.- , / <br /> -���kFiir�k�-%n�� . . SccT1uN � ' ,' <br /> (tYO. . SCAGF_� � .� iii� �'�. / . . �,-�L. <br /> $ignalure of App imnt �ffT- f, <br /> � $� �l�'!0 <br /> , ���' l �__ 1co�� �ii, <br /> � N;��,k�-'; ��go� -' Address <br /> /�� <br /> � �.7�_����.�_:�:i�_�:-� ��`fv�, i� 7 S�v <br /> �� ����f`�--` � Telephone Number <br /> � <br /> � � Dafep r' ,_ .. <br /> r/� /�_.'-� /.O ���S/�/��u � �( <br /> Inspedor's Signafure 5 �� � " <br /> � , j ; � Fee � <br /> �/Tiz CfJ6G.<�=�) �✓20�-�1 <br /> Dote <br /> DEPT. APPROVALS <br /> Engineeti � � �2� � <br /> Remarks <br /> Walcr <br /> Strccl ` '. � � •.i <br /> �.T/ �' _ �i - <br /> -- Communca�ti%is �n�r ',���9(7( — . <br /> Tralfic <br /> Planning �'I' � <br /> PROVIDE FOR ' NOTE <br /> Call En�ineering Dept. 259 Cfl03 pROPER DRAINAGE Cii[CK W�1H wqTER <br /> 24 Haurs betore C��r. Fr,tt wnT[R uwE <br /> eonstruetion is starled. ����c,;r;r;,.�5 g�_Ft�,i� Ex�avnT�oN <br />