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� <br />EVER[TT, WASH. '��''"°°"� ey <br />�,_ i �y �� <br />/ � �%L� �� / � /.<� <br />eJ - Dale Appioved <br />The Undersigned �� Xa ��" ��� ��' � <br />Hereby applies for permission to =N`-�'Ti�-L L R �� G�'-�� �-��'��'-' S P.lc'V �C/= ,p(AIDF '7 S�!/� • <br />At fhe following location z'�/ l�� j� �F� <br />�.. <br />�i. <br />� <br />SKETCH y,�' ��� ,y�'� <br />IWork to be donel ,�.;. `� s'��� '� 5��' <br />,�r, •i`.yl K � <br />, � .l; ;i__ - ��� �G, f-�, - <br />---- _ _. _ , <br />_ _ _. ------- ._ __. _ <br />_ __ . __ <br />� - --- -- _ � <br />_ ._.._ _, - -- ----- <br />`'� � � � ,i ---- <br />�� , ! <br />.h <br />The undersigncd owner hereby agrees to hold and savc harmless the City of <br />Everetf from any and oll claims for damogez thal may arise because of the <br />installalion and maintenance of Ihe improvemenl hereto applied for and <br />further agrees b remove zame upon notice irom Ihe Cily and to replace all <br />public property damaged Ihcreby. <br />Inspedor's $ignalure <br />/ � <br />`�//i' �/���.��/'/.% ��..i.�v <br />Dale <br />11� ',I' ; n"J'., . <br />.... . . ;�.f:'Z:J. <br />i <br />i � <br />� �� <br />�%1 ( aD ; n <br />� , � , <br />, ' % � <br />r, <br />. .. ` ;., ���t:��.:.� '� <br />;.i . <br />- � !4�%,.'� . j;.:iy?' �r-r' �/.'j%�•-. <br />8D X T'p $.E F�LAG�.O <br />� �L.USff �,(/iTN TH� G',�'���e/ <br />� <br />I ! ) �- _ <br />' r- <br />Variancc Required <br />Yes ._ _.___.__.._.... <br />No. . . _. _ . . _.... <br />�r �i � ��•-('Ybt i <br />Signafure oI Applicanf <br />3co� r- <br />Addre:s <br />asg - 3s9/ <br />7=lephone Number <br />3-a,/- 7�. <br />Dafe <br />s /(%O dr � <br />Fce <br />DEPT. APPROVALS <br />L. � y <br />/ / <br />� , %,�� I�— <br />Engineers � <br />Wa�cr � o....- T - 2�i - 7"a_. <br />Strcet — <br />Communicalions �y��L - `� � � - <br />T;r,ffic--------_ _-�— ----.-. <br />i��I-:��.nir���--- �-- ---------- ��-- <br />