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OETT, WASH. Approved By <br /> zo <br /> The Undersigned P' �� T5 �� Date Approved <br /> Hereby applies for permission to L0//S72, /+ =' ? ?%"it/ A p1(AL7 <br /> At the following location //a- c5Fn <br /> SKETCH <br /> (Work to b done) Nar TO SCALE � <br /> `7s — <br /> i <br /> 1 <br /> 4 <br /> J <br /> 4, 1 <br /> _ l7J <br /> ---------- <br /> m <br /> .� <br /> au•c°src <br /> 8.- SNr er re <br /> The undersigned owner hereby agrees to hold and save harmless the City of Variance Required f <br /> Everett from any and all claims for damages that may arise because of the Yes _... __. ..... <br /> installation and maintenance of the improvement hereto applied for and No _ <br /> further agrees to remove some upon notice from the City and to replace all ,n, <br /> public property damaged thereby. ��a✓.r� <br /> I VRivrvq,Y SECTION <br /> (A(0 ;;:.AL^. ) OH 1:6 WAVY SECI'lON -- <br /> ✓ _ <br /> Signature of Applicant <br /> Addl <br /> I j) Telephone Number <br /> {Ri <br /> 7i <br /> Date <br /> Inspector's Signature s �✓ `�5^D'� <br /> Fee <br /> Date <br /> DEPJ. APPRO/VAL <br /> 3�A,_i <br /> Remarks Engine s i — <br /> Water It <br /> Street <br /> Communications <br /> Troll ic ` <br /> Planning ri%7 <br /> I PROVIDE FOR <br /> Call Engineering NOTE PROPER DRAINAGE <br /> 24 Nour• tiaf0fe Dept. 259 RA03 r1[rK WITH WATER I <br /> I' '^T. FSR WATER LINE <br /> cnnstruclio n-cOPF EY.CAVATION <br /> j �tarled. � <br />