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K <br /> FVERETf, WASH. Approved ey <br /> � � <br /> ��` �,�. �G Dalc A proced <br /> The Undersigned �"-� �`-'r���-U 1 � G G�-- �--- P <br /> i <br /> Herebyappliesforpermissionto `^'G-�L� 2KT �"i��.� flly__�OCKS I C� �.PA2T �t.� C� IT�1 <br /> _ �F2� PGPTV 15 rC>oN� C`L �_ 'RIC� I-{T �-� ��.lA `� <br /> At the following localion 3 O 3 `J�C. �j L.. ( ��l G j R , _ <br /> �KETCH I /�6 S�� '�Y <br /> (Work to be donel L� U � -, `�- <br /> � � /� � <br /> � � ---_� STRE.ET DKA1N <br /> I' � , _..-.. <br /> / _ � ��0, 1 y i, <br /> � _ _ ` J <br /> \ ��:�, <br /> %� � — --� �� � 7Ur� <br /> ; / -,m+-o c� <br /> � O�� -, �GE of <br /> .� Q� \ <br /> RoavW�Y <br /> ad ` 10 <br /> � �o��s �a \ <br /> 30 3 <br /> r9'APawr o <br /> �\ � � � <br /> o � ;; <br /> ---------- ----- _-- ------ d, � <br /> z 4 � <br /> � � � r <br /> } � OQ d <br /> y �, 3 <br /> � � <br /> ; <br /> The undersigned owncr hereby agrees to hold and save harmless Ihe City of Variance Required <br /> F.verell (rom any and all doims 1or domages Ihat moy arise because of thc Yes . . .. .._ . ._... <br /> inslollation and maintenonce of Ihe impruvemenl hcrelo opplied (ar ond No . . . . . <br /> lurther agrees ro remove same upon naticc 6nm Ihe City and lo repla,e all <br /> public property damoged ihcreby. <br /> \ \ ` DRNO SCALE CTION f" �X 7L�S41 ! �r:E-�1 J�G'�°_�`Yis <br /> � �i. <br /> � _1r� ' $ignalure o( Applicanl � <br /> `� �j 2 _ f � r <br /> ��� u�.._:----__ -�'PJ J ' ., � _ <br /> ad e,: <br /> f30�j�- � 3"-� � � f ', oZJ'�'L/' � 3� <br /> /� \ �phone Number <br /> �� <br /> �' � �A�ci, /s/� 7 `-� <br /> Dal <br /> Inspecior's Signofure $ �� ��� <br /> �� �F C13�CKC=1� �—�8�-/"r �l�L/n �4ti� I�G Fee <br /> Dale �— � 6—?3 <br /> � . ` DEPT. APPROVALS <br /> IU��i,.�_ ����/At.�,�Orr� " � .�L;J� �G-e? G'J=� �1/c� .I�c�- f ' <br /> Remorks � Engincers <br /> Walcr � `l_� .y�i/.',,. <br /> c%ix:� �'6'� 1��.G�`r/�� G�i"�Y/� 17/�cui'L�C<cc � i �� ��u� �� Strect �g���.0 /'.:,•c.:./�...i za. , <br /> Commun'calions� -`�'� �� T <br /> �� ' ' ' � �� T Traffic � <br /> r / / 7�/ <br /> 2� f ' � �!'t /fGl'- ! G - �� � ' / Planning . , , <br /> . _. ._ __. . . <br /> OVICE Yl�;i <br /> -..,! � ' ! ROi'ER URAIi,f,i;.: "Il. <br /> .4 li.�.i�. � ` � � ,�iL�'F � li�ri ` ;:. ' <br /> ofititr.ic��0�� I � `�'d. I UEPT. f UH �JATE' _ <br /> I OCATI�NS BFFii - _ ,., , , <br /> �--—.�.....�w�.—....,�--- . . . .a�.�,. <br />