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,. �_ <br />GTY ENGINEERS /,�;���<'L,�aJ <br />EVERETT, WASH. Approved By <br />/�'�/�y -�.�/�v �i��� <br />i,, _,.: - ' �.�, r -.—�; :.- . Dale Approved <br />The Undersigned � � r"' ��� — <br />G�'G�Z�I'� 1 i��� /!'Y'� � i � ' � � �' i , � <br />Hereby applies for permission to �`" ' `9 ' '" " /, - � �" ��' ^� <br />i � <br />�'1-75;�.% .�l;t.i� n /� q• i!`� � L/.!' ,9j�.��'�'�•. ��•_ �l� _,<-�,f�/� <br />G / d % � <br />At the (ollowing locction -�� � ���S�T ��/��� <br />SKETCH � <br />IWork to be donel p/:'O,"'!�.'.:'% ''�� %�%, `_- �F;/'�f-I /ZE7AU.1/N:� yY�iLL <br />ii , I <br />o �' <br />34' Et(I�T, <br />r/�� <br />LOT �� � <br />20 � � <br />a <br />��t v <br />� <br />i, � � <br />n � <br />'�� z J <br />W <br />Thc undcrsigned owner hereby agrces to hold ond savc hnrmless the City o( <br />Everclt from ony and all ilaims for damages thal may arisc becausc o( Ihe <br />installation and mainlenance of thc improvement herMo applied iar ond <br />(urther agrees lo remove same upon notice from the City ond to replocc all <br />public properly damaged IJ�ereby. <br />� <br />����; '- -y .�.� ! <br />.;`:�" j� C�� �;,��� Jcc;» :;!��:� <br />. � i %� -, _ j i ��; Z� ' � <br />.�'-/' - � ' ' / <br />Inspeclors SignulUre <br />�i /Tt� CifECti E� s��' /%� <br />Dafe <br />Remarks <br />_. f-% '_ ' _ ( f:'. .- ,t " 1. ! <br />Voriancc Requi:ed <br />Ycs . . . .. _.... <br />No <br />_ ;- <br />,{�/f�,;',f%• -._ �l '�i' .�y.. <br />Signalure of Applic " <br />- � : <br />�C(./� ..r' �vt.�'; i!� ��': �.c <br />Add�ess <br />, �'S3 — .�-� �: S`� <br />ielephone Number <br />> <br />s2��/1 �;� ; ,S � �'C� <br />� Da�c <br />$ � <br />Fee <br />DEPT. APPROVALS <br />-- " . <br />Walcrl � - � • <br />$Irect _:}� � <br />Communimliont� <br />Traffic / ��-� <br />Planning � � <br />