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CITY ENGWEERS ( �� � <br /> EVERETT, WASH. Approved By <br /> ,., 7 <br /> ^ _ /. / . �// 7 i /�/' / <br /> / �/E —�O�J / / � /. / i �� <br /> �J � � J � ( ►"�Q�'�t J�' I I�e ��)f bl!� ' Dale ApP�ove� <br /> The Undersigned '` <br /> / /,, r <br /> Hrreby applies for permission to `1 ��� � f ��n'�r) lc ��F� ,� <br /> � <br /> At ihe following location � , � � � i �C'— e� <br /> SKETCH I I <br /> fWork to be done) i <br /> i i _ _ _ <br /> ��" <br /> - - - - _ _ <br /> . __. ____ �r T—__ <br /> Vi / ` 3 ��j��, � :� <br /> ������ �l � <br /> '�'1 � �Zo�� ' � �' � <br /> � I � � _, ` _ ,--�� <br /> � r/_���iU1l illl � � `����� <br /> LL ' ; <br /> t� �, � , � <br /> s 11 % � I, <br /> va / / i - <br /> .`� ' f �, � <br /> n i <br /> Cn �" - � i <br /> i n y� N?��.. I-o��rkl�Ig �'� i <br /> � ; � � � �� � <br /> s.F� __._ . - - � � <br /> \ <br /> � <br /> ".� <br /> �"I a l � .r� r- <br /> The undersigned ovmer nereby agrees to hold and save harmless ihc Ciiy of Variance Required <br /> Everett from any and all claims for damages that may arise because of the Yes. ._. ..___.__...._.. <br /> installalion end maintenance of the improvement hcrelo applied for and No_._..... ._._...__. .. <br /> further ogrees to remove same upon nolice from the City and b replace all <br /> public property damaged Ihcreby. � <br /> '' �,1�f.(�S��hY:-_.SECT10P1 - �'� /�/ <br /> �—__._._.., . �7<i�0:':��SCA[E} . � . . <br /> � � Signature of Applimnt <br /> � �.e;Jn�'-�i _J......._.,..._-._.._._. {'�'r � ;J��7.-t � / ��.� ��� ;�� ' �.� + ' A-� '' �I . <br /> i- _: <br /> _� ' �—T� <br /> , �,�"� __:_.s Address <br /> .�,� �.�� � � <br /> -----_.. <br /> � ' ' . , ' - r'.'_ :;., .. . . . . <br /> �.�':'^:_....._���_ . <br /> 7clephone Number �'�- ��y�� <br /> �...._...__....__..._._ �1 - r - 7/ <br /> ' " Dale <br /> If_-„ G,' . - i <br /> Ins eclor's Signature s � �� � �/'� � " � <br /> i <br /> Fee <br /> — �� i <br /> �` i%% .�i!L Gic'F.7 •.,�,;Z > _ <br /> Dale <br /> DEPT APPROVALS <br /> ! ` 1 �/-�i'/ 1% ��1i �J i /'� � f / / <br /> �7 �;';LZ_ � /7 %C" f- � / — _z���i�i�L �i�f-�7%%i <br /> Engincers <br /> Remarkz _ . � i �; � 5 . �� <br /> Waler ��- �.�'`'r`'-I <br /> Strcet� / � �"�'� :l . <br /> Communimtjons `�� `-�""S' <br /> Traffic � <br />,,� Planning ��1�� <br />«i <br /> � II Engineering Dr,pl. 259 83D? - - - ----- --- <br /> � � i'nOV�t�� �CR ' NU�i'� <br /> 4 Hoi�rs 6efore <br /> n_,(ruction is started. PROPER DRAINAGE ���� r: lvi;�� ,�� ,iz;; <br /> �I I � , -.. ",� ;�.nr,_ .r , <br /> ' � . . <br /> ' _ __ _.._._.. . _.__..-_... . ____� <br />