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EVERETT, WASH. <br />The Undersigned <br />Hereby applies for permission <br />� - .. . . . - _. % i�. : �,� , <br />� t�l��'� <br />n <br />At the following locafion <br />� 7 r% �G � i t.lt 'C -�f- _ <br />SKETCH <br />IWork to be done) <br />1 <br />�, <br />_ Approved By <br />� <br />� / <br />'J.. '•+ .�.3 'li <br />` i Datc Approved <br />The undersigned owner hereby agrees to hold and save harmless the Cily of Variance Required <br />Evereit from any and all daims for damages thol may ari:e because of the Yet..__.__..__ .. ._... <br />insmllation and maintenance of the improvement hereto applicd for and No.._...._.... ._.._. <br />furlher agrees to remove same upon notice from the City and to replace all <br />public property damaged thereby. <br />- <br />--1 r". •� . <br />Inspector's $ignalure <br />i <br />��� 7�� �� - _ ' / / <br />�.�lt_C�---� ' =-- <br />Dale <br />Call En fineering Dept. 259 �E03 <br />24 Nnurs bcfore <br />consiruction is started. <br />��..�. <br />�. J ,_: � i <br />PROVIDE FOR <br />PROPER DRAINAGE <br />._ ; ' <br />J '�` <br />Signafure o( Applicanl <br />�/��(. �.�., i .: . F" <br />Address <br />�S^ �,. U i� <br />Telephone Numbe� <br />7J�'=/'i/ <br />Date <br />$ .�. i411 I'�t� ,%�.i ..��,�f <br />Feo <br />Enyineers <br />Walej � <br />Sf2et — <br />DEPT. APPROVALS <br />7:A.'�-i-`7 L�., �r. <br />i. <br />� Planning f � /�> <br />� 1i <br />�C<r,i,iH�P�i� �. �..�i�lt•�i.;,.� (�..�.I�,�t.'l <br />( <br />ti�(�dOTE ......�_.. u.?41I �.r �'�ut <br />CNFCK WITH WA7ER� <br />D�_?L FOR WATER LINE <br />�. � �,;;:T!0!q5 BcFORE EXCAVPTION , <br />���.__ . J <br />