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EVERETT, WASH. <br />The Undersigned /� ��-U � % �'�� ���� �'" <br />Hereby applies for permission to�� ` � /�� �tl�f � � <br />At the fo!�owing bcation�L��Z`' "��'.�.91��f�lt'��� � <br />SKETCH <br />IWork to be donel <br />j�N�VE fXJST GtJQB Gr/7" r�/�D <br />- - ' - - -..,,— ' .."" ��f/D g i0E7d/'G.<' <br />The undersigned owner hereby ap:ces 10 hold o�d save harmlesz Ihe City of <br />Everelt (�om any and all daims for domo�es Ihnl mny arise becausc of Ihe <br />installalion and mainlenance of Iht �mprove�nenl hereto applied fcr and <br />furlher agrees to remove same upon noficc Irom the Cily and to replace all <br />public property damaged Ihereby. <br />1 j :'i ' � <br />Inspedor's $ignofure <br />c���r�L �r�F_ C,c�F__i J 1�/ /7lJ <br />DaL <br />Remarks <br />!.{�yroved By <br />�-r�rf,+7�� 11/�7/> <br />Dale Approvcd <br />Variance Requirrd <br />Ycs <br />No <br />�--'" i <br />i� ;(. <br />�� Signatuje, o! ApP�'mnf <br />. . � .,�.c : i.( , <br />/' i-- � . . . F--s_ .. <br />Addresi �, ✓ i� � � <br />; . �. <br />ielephone Number <br />Dafe <br />f�-- �`��g <br />�!J ;�I/O�F <br />F�e �. .�.n '�. . <br />DEPi. APPjt�LS <br />ii <br />Enginccr` <br />i <br />Watcr <br />$licet - <br />Communicalions�� '2'-'-�-` - �`- �—.� � <br />fmHic '��...4''_� ���'% ?(] <br />f9nnning � '�/> <br />