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. i�z- y'� <br />Permrt No . .. . . .. ............. _... <br />APPLICATION FOR DR!`/EWAY PERMlT <br />everett <br />CITY eNGINEERS -_��,.�� <br />EVERETT, WASH. Approved ey <br />, /�.�n/,,� �hy ��/� <br />The Undersigned F L ht C I'' YV � l C i� � j' Dale Approved <br />Hereby applies for permission to C�N ST' �1 ZO � D�G(J <br />At fhe fol lowing location �� l/p – SJ ' T � L -7 [�!/ — <br />OSKETCH <br />�(Work to be donel <br />� <br />� <br />z <br />D <br />< <br />fT1 <br />� � ;; T <br />The undersigned owner hereby agrees to hold and save harmless Ihe City of <br />Everett from any and all claims for damages thal may arise because of the <br />installalion and maintenance of the improvement hereto applicd (or and <br />furlher agrees lo remove same upon nolice from ihe City and to replace all <br />public properly dama�ed thereby. <br />Inspecfor's Signafure <br />; .Th LiizG;t'r/i "/�,�j � <br />Dafe <br />�`.jf;���. <br />� -- <br />S. <br />Variancc Required <br />Yes. _......... _._ ...... _.. <br />No._...... ....._.._....... <br />W, <br />-���� � <br />Signafure of Applicanf / ' <br />�D/-�./f� ��-�Gv. <br />�3';2�v� =a �°� . <br />2� - ?-�9�- <br />ielephone Number <br />t— <br />� �� � <br />� <br />$ /D`�° � ���,:�. ���. 7�. <br />Fce <br />DEFT. APPROVALS <br />Engineerr �.. - �."r�� �'� �.Y ���J %7?: <br />Water` '��� � : � <br />Strcet -- — - ---._.�...._,__ <br />