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EVERETT, WASH. <br />The Undersigned <br />Hereby applies for pernission <br />ni ine tollowing location <br />SKETCH <br />IWo�k to be donel <br />A <br />R';'�ViDE FOR <br />{ ;";t�r�R DRAINAGE <br />, ,.�-,_ <br />,.• _�� <br />r;'.� :r. . ii., <br />.. ,; .:... _ . _� . -: .,=`/',`VI.rJ!� <br />�i/'%i � <br />� ..r' '7. / l . _ - . "- <br />The undcrsigned owncr hereby agrees to hold and ....vr harmless Ihc City of <br />Everett from any and all claims lor damages that may arise beccuse of the <br />installation and mainlenonce of the improvement herelo applied (or and <br />further egrees to remove same upon notice from the City and to replace all <br />pubP.c property damaged thereby. <br />/ • <br />- �_ �---� <br />� ��,� ..��y �� � �r->,�.,_� �. :. <br />Inspr.cfoi s $ignolure . <br />i �' <br />i i � �. <br />: �% <br />t — <br />Dafe <br />.� ��..!L . ."�-`--"— <br />.�{pproved By <br />�:� � t ir E \�{�� <br />Dofe Approved <br />Variance Required <br />Ycs.... ._ _. ......... <br />No..__...._ _ . <br />�\ <br />L1�� � CI � %-j2 C - -.- _ _ <br />; <br />, / � <br />ii , ;v1', ,e_C %`VI -;,I Ci_C <br />.,� � $igdafure oF Applim.,f <br />i. � <br />i.: i �},.,.i. �� _I� I1 }.� ���I <br />� <br />�. _� <br />add�e�, � — �,� �S �� z � <br />� �:� �. _ %.i '�ti� i,� <br />7elepBone Num6cr <br />Dale <br />g _ ��� � <br />L—i ii.� - _ : , <br />Fee <br />DEPT. APPROVALS <br />' � 1 <br />Enc�inccrs- i�'�i' � , O� �` �P-''��"'i- <br />G ' `A.�.- <br />Watcr ( --�!!' o -- <br />�. V <br />S�fCC� <br />Communications ` ��-- . �-:i,.�`� � ..— <br />Tra(fic _ . . <br />Planning — <br />