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EVERETT, WASH. ' :� �; ` � Approved n`y � <br />,� ;._: 1',l _ ��%9% /� /9�.Z <br />� <br />The Undersigned <br />(.� � �=� � ) n `� � i � ) R g - Dale Approved <br />Hereby applies for permission to � ��� `� T n�� cT A 7n� D11.41 <br />At ihe following location ��/>��' �=T F``' <br />SKETCH <br />IWork to be donel <br />.JrIsT <br />Pl_.AC� <br />The undersigned owner hereby agrees to hold and save harmless Ihe Cily of <br />Everetl frum any and all claims for domages that may arise because of the <br />installation and maintenance of the improvemenl hereto applied for and <br />further agroes to remove same upon nolice from Ihe Ciry and ro replace all <br />public property damaqed ihereby. <br />�� � � �� � � <br />�� <br />�����ti" '� <br />Inspeclor's Signafure <br />S�Ti� C:/isC.c�FO '�l/ (r=' /.� <br />Dafe <br />'�� � � ':_.;�fie;l.r <br />-+-.. �i Ii_.:�.✓ U�IU11i <br />, construction is starte9, <br />hz <br />,\ <br />� <br />S, W. <br />-- ---o <br />\'���..\ <br />Z0: <br />.3006--5! 57': P1.= S.W_ <br />, <br />�.��'.-�, <br />z "AsF�r�A�r ;, <br />� (PnST cu%r� � <br />,,,._ _��', <br />�-i.,; � . <br />/y=� <br />Variance Required <br />Yes_......__...__....... <br />No_. __ _.____._..... <br />��--�-6�� -�= ��.�.� <br />Signalure p( Applit nt <br />_�� � . ��_� -y����-_ _ . <br />add�e,� <br />j�fS'<c� Gc/L'ST S/� i/E/2 G�� �� <br />G-r-r.�� <br />, � ��,.�-"__ <br />. { �- <br />•, _ <br />.���`t �-rl <br />�t'^.1 <br />",i�.� t�.� <br />:_:<!','IT�i Yd.4TER <br />ii: i 7. FOR '�1�^,-fER f_IIJE <br />;,Or^„!nr;; F;-�nr,� EX_'_'^TInN <br />ielephone Number <br />/— 2S— 7Z <br />Dafe <br />i <br />$ �D c^o �!I_cr.i y'/l�'7'L <br />Fee <br />DEPT. APPROV <br />� � <br />Engineers ' --�� / _ ' � Z � , �`� <br />,_ <br />Water r. v�� T /O .'-> z <br />Sfreet '�' � � <br />Communimlions � ��= "�'=�` �'�•'•'`� �-. <br />Traffic ,�';� � / •.,'. Li' �: - <br />Planning ��i-{5. . -1- `/' , L— - <br />_ _ _ _- _ _._ _ . <br />