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�~ EVERETT, WASH. - App�oved B� � <br />� Q�i�t/r; /�5;/97'/ <br /> The Undersigned <br /> ' f' F �-'F".1 'rIF%.'f Da1e Approved <br /> � l �� � ✓/ .� ' �U � .'1 <br /> Hereby applie5 for permission to ��'� `-� � � � �L ^^ <br /> .-� .�� .s� :- �. --�: <br /> � / ` �, � ;��;�. �.Y- <br /> At the following location <br /> / , — in ,r3 i. ����' _ �-,r- - ��/J� _ ' f� �"1' /�-1 L/% <br /> SKETCH � � _ ,, .� [\,A;/_ . <br /> lWork to be donel <br /> -------� � � <br /> �s � / <br /> ,:,.o � / <br /> ti \ ` <br /> �� �, , <br /> '�'— \ , / / %, <br />� ' \`� % `o 0 <br /> �I� �--E+���\ \ 9 � <br />: �- �.��� /�� <br /> -. , �� � - <br /> `�., � <br />� Q��kcR'I ` " "� / <br /> � ,c-'- PRoP�RTy „ �'\ �K � <br /> . - G piTY -\ /J �; � �. / . <br /> � �4 o i T �� \� � ��_,. � / <br /> i '�\ <br />� � � <br /> � � � <br /> � �; <br /> Thc undcrsigned owner hereby ogrees to hold and savc harmless the City of Varionce Required <br />' Fverelt from an� and all claims for damages Ihat muy arise because of Ihe Yes. ....._......___ ...... <br />; inslallalion and mainfenance of ihe impmvement herMo applied for and No.._.___..... ._.. ._.. <br /> further ugrees to remove ;ame upon nolice from the Ci1y and to replace all . <br /> public property damaged thereby. (.�t-. �4';�E' � �`:.•t� ��i +�':`- �I' ! <br />�� ::E;:-� . �� �� ' , ,', , ,;� <br /> ,�r, �/� ,, ,. ; � <br /> Signalure of Applicanf <br /> � 5 n� ,;<;,, ; <br /> Address <br /> ��)` (, J� ^) . ,' . <br /> /� 'i(._;:� ,' .:, <br /> ielephone Number <br /> I , � <br /> _ r' . <br /> Dafe <br /> Inspedcr's Signalure � U �E F <br /> Fee <br /> �'rr� �'.y ' ,E' -U ����/ <br /> Date <br /> DEPT. APPROVALS <br /> LI�4E'� C�ci:LlP�ri��> Iti%%r-cJ /�CJS�.F'crTi�'� _ �� �� � � !�6 ���7i <br /> Remarks Engine s _ <br /> Water <br /> �i/��..5� fI�/)/7� Strce✓� — <br /> ' Communicalions ^ <br /> X Tw(fic _^,�'r" y _r'''; <br /> Plarning <br /> v w. .6� . ; �. ,% _.--_-- — <br /> �� ��;: ;:� , � PROVIDE FOR <br /> C�II Engineeri�� �@�t� 254�sao� <br /> " i�iC::"ti:; � PROPER DRAINAGE <br /> 24 Hours b�(BF@ C! i�_r;�:t vrt�1; �'/ATE't <br /> �p�St�UctlOn IS 5'13f1Bd• DEPT. FDR WATER LINE <br /> f_OCATIOid` L��FO!t� �XCA�'A710N � ��� � <br />