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�r-. _ �-.,` <br /> EVERETT, WASH. roved ey <br /> � . � <br /> �OY.� �O �Qio� <br /> � � ( L � . Date Approved <br /> The Undersigned - t� � '� ' �� ` <br /> , " _ <br /> , <br /> Hereby appiies for permission to � � � � � ' � - f '�=''i"' " ` � <br /> �' - 7 � -��", <br /> At the following location_ � C' � � � %' �-/ — `�.- • - - , / , - �, � �c..._,,,._ , <br /> SKETCH �> _ <br /> (Work to be donel ��� `--- <br /> � i'�1 I i I-� /-��/ � - ��� <br /> ; <br /> /9r' /4O. <br /> � <br /> � � �1 <br /> � <br /> �., <br /> � c: <br /> , <br /> —_ Z <br /> ;� � <br /> K ti <br /> _� <br /> i� <br /> �I .�r i�� , �t, <br /> � r. <br /> � <br /> __ __ _1__ „o - <br /> _ _Se,vri- �ti _ _ /-- � / _ — � ' <br /> ---� <br /> The undersigned owner hereby agrees to hold and save harmless �he Cify of Varionce Requ�red <br /> Everetl irom any and all claims for damages tha� may arise because of the Yes . ._ .. .. . <br /> installulion and maintenance of ihe improvement hereto applied for and No ._. <br /> further agrees lo remave same �pon nolice irom the City and lo reploce oll <br /> public property damaged thereby. . <br /> �� <br /> rti <br /> ...-. �� . ( � /, <br /> , `.`j�-cPL'-�, � •� �[•f• �� � �:'�t-G._. <br /> Signalure of Applimr.l <br /> -- � ) , ���, <br /> ,'�i'�C ,�. �c.��.r,c., .,_ �_ .,,. <br /> GAddress � <br /> �_ '� G.� ''� I <br /> ielephone Number <br /> ,.��:,�:T._, � �'�, — � '��E J <br /> - --; . � Dale <br /> -�-t� - i ' ''�/r-�F-�-f . <br /> Inspeclor"s-$ignalure • - � � - � <br /> � Fee <br /> y��� ����� <br /> Dale <br /> DEPT. APPROVALS <br /> Remorkt Enginecrs <br /> Water �— — <br /> Slreel <br /> Communications �" � -1'� <br /> Traffic_— ' . <br /> ____ Planning _ <br />