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EVERETT, WASH. <br />The <br />�Approved By <br />i �' ' � y' � ` <br />Date Approved <br />�i , . <br />Hereby applies ior permission to G— �'� t"" C T � �- ' � � `� � `~`� �- �f � ''� I L- �•� �` ��-'tl � �- <br />� / �c C � � i� 1 ��� �'� �. 4 ••r ,. ;,.. <br />At fhe following location �=� +?"' � - � � f� � � <br />SKETCH <br />(Work to be done) <br />J v� 7 H <br />The undersigned owncn c�reby agrees to hold and save harm�ess the Cily of <br />Everelf from any and all claims for damages that may arise because of ihe <br />installalion and mainlenance ol the improvemenl hereto applied for and <br />furfher agrees to remove same �pon nolice irom Ihe Cily and fo replace all <br />public property damaged ihereby. <br />/l-/��'- � ' ,�� <br />Inspeclor's Signalure � <br />sirr- eH�ck � �� /� -1s-7� <br />Date <br />���; ��s, . <br />'„&i,l �n{�aeerin� d�{il. ��, ��� : <br />22 Hnurs b°fore <br />�sn<ir;ction is-started, <br />� . , ' <br />S T. <br />Ex� sr�NG_ <br />DRI�F_YJstY <br />��D <br />Ex, TtocK W!� �L_ <br />S� DF_ Wi� LK <br />, <br />-- —,t � „is'� �u <br />FENc� � <br />i <br />� �j �, <br />� ; I r6 � <br />i � � <br />��� �� i � I <br />I 'J _,�i <br />I; � <br />i; <br />I <br />Variance ReGuired <br />Yes_. _ _........._ _. _..... <br />No.._..__..... __._.... <br />' .i. , ; �.��u-��I �. '1'i'l�l'�a7 <br />Signalure Applicanf � <br />�'J.7n-3.`�`�S� _ <br />Address <br />� s-"� - c� v S l <br />ielephone Number <br />/�U �/U � 7 3 <br />Dafe <br />$ �1 ��� t ��� �f�f- �; ' �i � <br />� j i ..�1�� �,�" �`� � �', Fee <br />i �r <br />"Il Il <br />DEPT APPROV LS <br />Engineer �' '� ���� 7 ��3 <br />� Water ��'� �'.' � . <br />, <br />Street <br />Communicot:on::.:.. _ - .- <br />Traific �' - _ .-c <br />Planning - <br />__.._.._..r <br />, "IiUvitlt FJ�i <br />; r° = R PftG�cR DRrili;:1 . <br />CHF.CK WITH �9ATEn^ <br />� <br />PT FOft bVATfR UNE � <br />�:��Ti� �i � E�FO EXCAVATInN <br />, _. — <br />.� r � � E 1�� 4 � d >.. � ; . , �. . „�--T--�--�_ _- <br />erm ..�.. <br />