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EVERET-, \�/ASh;. �'�'F``"� `" <br /> �=�RG',9�,'�� />'.7,� <br /> The Undersigned � ^ `� � '- Date Approved <br /> Yl� I i� <br /> � � <br /> Here'uy applies for permission to �'��J=��%� � � J �/` J <br /> ,. ,� �__ �!j�.. _! ;i F . l- • <br /> At fhe followiny location/��-/�� <br /> SKETCH � <br /> IWork to be donel � <br /> WFl�"��E �� ��, �° N ► � � I ` <br /> ,.� <br /> IN �U € '�� `� . ;::�. <br /> ... +��" <br /> �o� �' P�.• <br /> ------- ---- ---------,, _ 1.2"Cti�vr e�� P,Eqvnet�, � 1 <br /> , <br /> � y <br /> FO�e D.PAitiAGr. � <br /> .rnavf—ftT (/�IE.�G[.G"cT[:Q ";"t.� t I'dSTYtLL J I �.1Gr T� S�Rr l� <br /> �— — — 1� <br /> I J � I <br /> .. /� ~ _— . _._.__ � <br /> � �i <br /> � �f-ifL <br /> _. . /�� PL • 5.F�., <br /> qs ,��i� � � , _____._. _--- ____.__ <br /> �' ��` � 2... c � <br /> `� <br /> � -- <br /> The undersigned owner hereby agrees lo hold and save F.armless the City oF Varionce Required <br /> Ev�retl from any and all daims (or damaycs ihat moy arisc because of the Yes. . . .. . . __. <br /> installalion and maintenance of the improvement hereto applied foi and No . _ _.. _._.. <br /> furlher agrees to remove some upon notice trom the City and to replace all , � .�� <br /> public property damaged thcreby. ��^� '. � � ' � . <br /> � � fl � <br /> • f � <br /> `�.�t�! /; �J7Z � _ <br /> �X;.Gj�, ;.�' j_Y, . . <br /> . . .. ., � .. . <br /> .. .--........... Signalure of Applicanf <br /> . ,� � or rv�=e�rr <br /> � � . :q%>:�. i� ,, <br /> Address <br /> G'� !7 .-..��..�:/// ' �— � ' / � <br /> JvF� 4.�. <br /> Telephone Number <br /> f t� � <br /> Date � ._- /•' - , <br /> . i <br /> Inspecior i $ignafure <br /> � �U C� �:-i� �L�Cti,!L. <br /> Fce / <br /> �%%Pi c�f�`f' ,.C'��� �//L , <br /> Dafe <br /> �'.� <br /> _ .� - � <br /> � �RF, AP OVAtS <br /> :� = // �� %� �_ <br /> Rcmarks Engi�ers - "� � �- <br /> Walcr ��� .� ` T -- 7- 7 ._.. <br /> Sirccl "----- -- - - - - �--- <br /> Commun�cafions ����4�-� '�%�— <br /> Traffic <br /> /`�/�� ;.�",��' !- '�/�- 77 --- <br /> _ Planninc� n �.l �. ---- <br /> ----__ <br /> { <br /> �u . � D' ���. 2;J�� �;`s �� <br /> , Cr1ECK '(('! 1'l�`i_H i ._�-'L�� U��111\.hl��_ <br /> . , .,. ...., �2(01:: ' i:�'�PT. �:''�:? ;,'tilCii '_!ftii: � . <br /> c�.�;-'��. ,��� �e Sl2ftBd. L^Cn `:����^ B'FnR� EX�AV,'1TION �� <br /> I <br /> % <br />