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CITY ENGINEERS <br />EVEkETT, WASH. <br />The Undersigned `` -- �' — <br />Hereby app�ies for permission to <br />At the following location <br />SKETCH <br />IWork to be donel <br />, - r- <br />___ --_-- —s� _ <br />�, <br />�___. _.0 I`�:I _ .—; <br />App;oved By <br />�� y /O i97/ <br />Dalc App�oved <br />The undcrsiqned ownei hcreby ogrces to hold and savc harmless Ihe City of <br />Evcretl Irom any and oll daims for domoges ihaf may arisc bemuse of Ihc <br />inslallation and maintenancc of the improvemen� herelo applied for ond <br />(urther ngrees to remove same upon nolice (rom the City and to reploce all <br />public properly damoycd thcreby. <br />j1I[�JltiY. .. 5E� <br />(7J0 _ .^,CALS � <br />�3.�.Y _ .. �. _...' __. _._..-_.�_. � <br />�� 30 <br />}!-�` � � ui <br />1 �. _-..___�._�'��._ _.__ <br />Inspeclois Signalure <br />.�/%L� C/�Fl..(��� �/C�/%� <br />Dale <br />/��c/D r'�� /�c.J P/_rJC.�: l.t��l/ir".t� S'.T.� �:� =,c. <br />a <br />K/�� !�_%/�/%� - — <br />C�II CngincerinE DepL 2ii9�����., p(�;)�dlDt FOR <br />24 Hours be�ore pr,�;>ER DRAINAGE <br />con,iruction is started. <br />� � <br />, ����r..:..�.�- <br />N� <br />ni <br />Variance Required <br />Yes _ . .... _...... <br />No.... . .. ...... .. <br />ii � <br />,�j f� !,- ;iPl7ICCf� <br />i , <br />� <br />Signofurn ol Applimnl <br />Address <br />-�.J / - /� / rY :.� <br />Telephone Number <br />�. _. J .. / � <br />Dale <br />�'_� i � . , <br />5 N, �-�r� <br />Fee <br />DEPT. APPROVALS <br />Enginee�s �� ` �yLL ������� ��� <br />Walcr �..� . C,..<....._� f' 7' -7 1 <br />, <br />srreM� ._ <br />Communicaliont r ���++"'�+1� <br />TfO��iC '� �� � �� <br />Planning `���' ' <br />�101 L <br />������_Ch �'diT�a t•;;.���,1 <br />u ���r. ri�i; �:nt �_f; i_r�' <br />�"l;'i((ICf�S f3Ci�1FF E'il�.riVAfIU'� <br />0 <br />