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w <br />E'J�P.ETT. <br />The Undersigned <br />� <br />; , r- ,; , : <br />Hereby applies for permission ta ��� �� � r� �,%'� '= "' `"' <br />At the following lowtion -��� �� —' J�� �-,'- �'� I — <br />SKETCH <br />IWork to be donel <br />w <br />-; . <br />CC <br />l� <br />i� <br />_— — --�-�. <br />J <br />Q <br />The undersigned owner hereby agrees lo hold anc� save h�rmless the City of <br />Everetl from any and all claims for damages thal moy arise becauze of tlie <br />installation and maintenance of the improvemenf hereto applied (or and <br />further ogrees to remove same upon nolice from the Cily and to �eplace all <br />public Proeerty damaged thereby. � <br />� � GRsv�t.;��r.��_.SeC'fION t <br />(t�lU".�;;Cric�� � <br />� ^ / <br />VO�� �' V <br />�N\ �� <br />�I <br />�3 <br />��o <br />r/ <br />� <br />f <br />; <br />� <br />3 <br />F I r . . . . {h *QN <br />� �� ,, ... _ _ __- = Yl.i <br />Inspeclor's Signa!ure <br />��s /-'.u.r' „f�F.�' �.zA"7/ <br />Dal�e <br />Cali ts�(ineerinF Depl. 25� 8K03 <br />24 Nours be(ore <br />mnstruction is started. <br />�.;'7 C ; y <br />�— -- -.� <br />I PRuVIDF POR <br />I P'r;0?ER DRAIf�!AGc <br />� <br />, � Approved B/ <br />� (. j�;'/ <br />:-u�� <br />" ��Dale Approved <br />Variance Required <br />Ycs.. _ _......_............ <br />No_.__.......__...._... <br />� ' <br />��' C-L�«c�--._ <br />ignature oF Applimnl <br />��OO .>N <br />add,e„ <br />355-9ff3� <br />7elephone Number <br />��� <br />Dafe <br />� �� i ��,( <br />Fee <br />� ": 5O <br />A <br />�`.'��(!C� 7��^ �%� <br />7 �- ' � <br />` Novc <br />f;';ECK 4VITIa ��,'ATCF <br />fi"PT. f��R 1:'FtTFR lli:`c <br />� � , �� ���; `,�[;�n,�� f ;C. Vt�T�niJ <br />