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EVERETT, WASH. Approved Hy <br /> /�lr�� /3 ��� <br /> The Undersigned Dme Appro ed <br /> Hereby applies for permission to ' <br /> At the following localion — <br /> , , i <br /> SKETCH ' ! ' I <br /> , II <br /> (Work to be donel ' I �' :� � I <br /> ; I <br /> i � ' I <br /> ; <br /> � '� ; <br /> � <br /> I � �, <br /> _ - - _ ___- <br /> , <br /> ------ 4 . ��. ,I <br /> R <br /> sA�A�F y „ .o' <br /> — — �- � N I ��. <br /> npvpcu� — —�� � <br /> �. _ � �� II <br /> �� IIB 119 � � <br /> � <br /> 2,is-.�_,. �� � <br /> -----� � I <br /> -- Q � <br /> � � <br /> � � ' <br /> _ _ <br /> -- . <br /> -- <br /> _ i -- - -- - <br /> � �I N, �`�, <br /> The undersigned owner hereby agrees ro hold and save harmless the City oi �'arionce Reyuired <br /> Evereft (rom any and all daims for damages that moy arise because o( thc .� ��T••.;, Ycs . . . .. .. <br /> installalion and mainlenance of Ihe improvemenl hereto applied far and � ` � No .. .. .. _ ___ . <br /> (urther agrees to remove same upon natice irom Ihe City and b replace all <br /> p�blic property domaged thcreby. <br /> � , <br /> Signalure of A�plicanl <br /> . , �� , � <br /> i , / _ <br /> A�dress <br /> . . :f <br /> Telephane Number <br /> � ,,__ . <br /> Dafe <br /> ,;n i'7 , <br /> lnspeclor's Signafure 5 � -'--��" �� <br /> Fee <br /> S�/%/' C.NltL ��(�'<-iJ -� "/.i-- %i' <br /> Dale <br /> DEPT. APPROVAIS <br /> � ;J�/, <br /> Remarks Enginer.rs � �' ' �� ��j��� <br /> Walcr <br /> .i,:.,t,� !S' /3� � ,c'� <br /> -- ._��—tr------�-- . <br /> Streel <br /> ---------- <br /> Comm ,,,���'oo� %G� 4b+"""`9 <br /> Traffic <br /> Planning <br /> Call Engineering DepL 259�ShQ's <br /> 24 Hours before — -, , -- -__..___----I <br /> PRU� LL FOR ' NU7'E: <br /> construction is started. � f�FQFER DRAIi�A��E CHCCr; �.+nT� � , <br /> r� V.1 T�R <br /> � ��-P7. F(!R �.':'„7Fi? Lif�i_ <br /> ' <br /> Lili:4ilC"�1:7 ii�.'(k�G�F � :!r7�'drL!lili': <br />