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EVERETT, WASH. <br />j� ,'��� /.= <br />The Undersigned ��iY `— <br />Hereby applies for permissian <br />; , _ ,, <br />i' �%j//-� ; ; � <��. <br />%� � _� /7 7;�� <br />! <br />At the following lomtion - � ' <br />f f� �. <br />SKcTCH <br />IWork to be donel <br />2 7 r" A VE. V�,/ <br />,- , <br />��. <br />c_� i__J <br />_ ' <br />!. _ . '� -- <br />..'.-1�.—��. PProved �By. .. , _ <br />��- 9- 7�� <br />Dntr. Approved _ <br />- --- -- - ------- <br />rEXISTING Df?AIN <br />•' GCNG. O,e i VE . <br />. d°c - 20' - <br />____ � __ _ <br />i <br />r-�-- <br />I si23 <br />0 <br />�5. _—__.- ..-- .. . <br />AS . —�----- - �� - - - .._._. _ . <br />The undersigned owner hereby agrees to hold and sa�•�. na�c�less the Cily of <br />Everett from ony and all claims for damages that may a�+s� �oecause of 'he <br />inslcllation and maintenance of ihc improvement hereto applied for and <br />further agrees lo removc same upon nolice (rom the Ci1y and to replace all <br />public property damaged thereby. <br />Inspeclor's $ignafure <br />r � / <br />J�/T.�: ��/L;C.CE�� ���/JD <br />Dale <br />Remarks <br />,�- _ <br />E:�:::� ai . <br />�, <br />L':: <br />� <br />Variancc Required <br />Yes_. ...._. . ........._... <br />No. _. _ _.. _ _. _ _.. ...... <br />' <br />/- < < -J�� �� l' _� � <br />i<< <br />.� ,� Sig�ature of Applimnl <br />� - + ,i i ,- �., <br />;�`�7 �-1=-'a��>,<�• </. �_�. <br />Ad6(ess <br />'� z � � — ''� ``/ <br />ielephone Number <br />_,{... ?_.7U <br />Date <br />5 i'"� rl -/5?b <br />Fee <br />DEPT. APPROVAIS <br />/ �.� !y <br />Enginecr(;0 ``�'� :,. � � � ����� <br />Water <br />9reet ` � <br />Communications � �, �_ � � � � �� <br />Traffic <br />Planninc� <br />