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EVERETT, WASH. Approved By <br /> 1 � %� „ Dote Approved <br /> . �f'�f 4. �`� ��f''�L. ,�'J � - <br /> The Undersigned / ��'� �' <br /> � /l � <br /> Hereby appli•-. icr permission to�.'��� � � � ''��•J�J T� <br /> At the fcllowing location `�' � �' �h� ir ''' '`� � <br /> SKETCH / p j ,� <br /> IWork to be donel <br /> BLK. iG <br /> i� � ' �� <br /> _ - � ' \ \ <br /> � \ <br /> . ' � <br /> � �� \� <br /> � <br /> ; 'r,,. \ <br /> //� ' '-.C�i��L; —� <br /> ,�-.� � •%;�,�/ <br /> P �`�� ------- <br /> S�� 3 ,� 7� - <br /> The undersigned owner hereby a�rees lo hold and save harmless Ihe City of Variancc Required <br /> EvereM from any and all claims far damages thot may arise bemesc of the Yes .. _ ..._. ......... <br /> installation and maintenonce of the improvemenl herero applied for and No .. . _._.. ..___.. <br /> furiher ngrees to remove same upon notice from the City and fo reploce all <br /> public property damaged Ihereby. �('�JG , <br /> �U,7A a.tJ�1�7 4�us <br /> � r� <br /> � Signafure�PPlicanf <br /> �' � �OX ?,�%I� <br /> Address <br /> ��y — �018 <br /> ielephone Number <br /> �i:�^ < <br /> �I — G — `l � <br /> oa�e <br /> -- S � o a <br /> Inspedor's Signofure <br /> Fee <br /> Dale <br /> DEPT. APPROVALS <br /> Remarks Enginecrs <br /> JJater—_ <br /> __ __ �treet_ <br /> Communicotions <br /> Tmfiic - <br /> Planning <br />