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EVEREIT, W.ASH. proved 6� <br /> E � u�r 5, ��'lo <br /> /�'ij ��/ S lp (p ate Approved <br />� The IJndersigned___�'�__ _ <br /> f � � , <br /> i <br /> Her�by applies for p�rmission to'"`'=� � ' - `I - _%'� ;�, '�: y', , ',� <br />, ^ <br />� �. / . � — <br /> � /1", — j�� f N �,��,,� <br /> At the following location / — --. <br /> SKFi CH <br /> IWo�k to be donel <br /> _ ._ C� <br /> �• = 40' 1 O <br /> __ _ _ _____ _. <br /> -----__--- --- -- <br /> ---- � �, � <br /> - � �... <br /> I t\��\� <br /> I r� I '� 1 ', �1 \ <br /> , � �' O <br /> �,, � i v _ <br /> '-I�� ILLIPS <br /> � 6 6 � B � ��; <br /> � 0. � <br /> � � v0 <br />� �+� ,�15/? �D/21 VES � � � <br /> � <br /> „ �J <br />,- I 5 --•-� �__ <br /> � _ � , ��� <br /> � � <br /> — �EX/�STiNG ASPN�L;" L/F' -_ — <br /> � <br /> � '�`/� � <br /> r 30� !o " G:GnIC. ^ L/C'Ei �� <br /> r / Jc TN �j (/E/�/UF_= <br /> The undersigned o�.vner hereby agrees to hold and savc harmless thc City of Variance Required <br />� Everett from any and ail daims for damages that may arise because o( Ihe Yes <br /> i insfallution and maintenance of the i^�provement herelo applied for and No.__ _��.�� .__...�.. <br />� further agrees to remove same upon m lice from the Cify and to replace all �'-_� <br /> II public property damogad thereby. �C"i <br /> I� r�. _ <br /> .� <br /> � _ �� � � / � , <br /> f _ � �_�- �. <br /> $ignafure of ApplicaN � <br /> -� � -%� 31y��, ..�-��. � � -.Z . <br /> O <br />''� Address l' '� <br /> ��Ga.- y L'j L-c. <br /> Telephone Number <br /> � �- `"_ Z% . _ (p/r <br /> Dale <br /> Inspecfor's Signafure $ ��q� °O L- ��2 <br /> Fee <br /> Dale <br /> DEPT. APPROV LS <br /> : � <br /> <� A �c <br /> Remarks `�Engineers d� <br /> Waler <br /> Street ' :'�'.•'�'"Y`^�' <br /> Communicalions ' ' � '� � � ` <br /> Traffic -/� �- _ <br /> Planning__,r.'`';�� <br /> � � .�,���.. <br /> `'r. <br /> ,.r._ ------- , <br />