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EVERETT, WASH. <br />Approved gy ------- <br />�',�'•i /l -R r4 /� <br />The Undersigned �7 A I�` F� F C� A M � 1 f-" L�- _ Date Approve <br />Hereby applies for pen,. sion to rn N ST. � 1� Ci t!� _ _ <br />At the following bcation �� D�- '� i�='= � I_ = 1n/ <br />SKETCH <br />IWork to be donel <br />5 2 I�l D <br />�.W, <br />� J <br />The undersigned owner hereby agrees fo ho�d and save harmless ihe City o( <br />�:��erott (rcm any and al! claims for damages thnt may arise betause oi the <br />installafion and mointenance of fhe improvertien� herelo applied for and <br />iurther agrees to remove same upon notice from the Cily and to replace all <br />public property damaged thereby. <br />Inzpecfor's Signafure <br />_TYTF c�%/2C,C,��) ���/Fi�'7i <br />Dafe <br />Remarks <br />I::II Cfi �.):1'�:::I:i? ��;:�iL L�.:�-���i;i�J3 <br />24 Hcurs befo�e <br />cons'.ruction is st2rfed. <br />�;. <br />�' <br />P"iOVIDE FOP, <br />PFOFEi: DRAI�JAGE <br />Variance Required <br />Ycs. _ _. _... ... _. . _...... <br />No__ ._ .___........... <br />....:4 i(�r-„��E-2-c'E� <br />�� Signafure'of Applicanf <br />� ( a� ,� �. �} <br />�.���.���f�>:ZI[.�L�����` L��'-4:.e.GG• <br />Address <br />S, j _� S E_ t., <br />Telephone iJumber <br />9-��-�� <br />Date <br />S 8 00. ,��_,-:�!�.. �G' - c'-7/ <br />Fee <br />DEPT. APPROVALS <br />Engineers� "� ��^', fc '� � <br />Wafer .'..-'- /0— — %/ _ <br />$freet -- -- <br />� M:� <br />Communica!ions � '"- ��- ^•� <br />Traffic_ � � r: � - -��- � <br />Planning .�� _ <br />' h:"�.7'T� <br />CFI;.C'.!C \V!��FI 'i''A 1 C'ri <br />U�f �. `I..�fi V��{I�i.ii �_.'���: . <br />LOCAT.IUVS B�I OR� ->;c'.,-1vAT�G•"� <br />