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At fhe following location <br />SKETCH <br />IWork fo be donel <br />.� - \� <br />� <br />V �� ��� <br />\ `` �1 <br />The undersigned ownen c�reby agrees to hold and save harmless the Cily of <br />Everett (rom any and all claims lor damages thal may arise because of the <br />inslallaiion and maintenance o( the improvemenl herelo opplied for and <br />furlher agrees fo remove same upon nolicu from the Cily and to replace all <br />public properiy damaged Ihereby. <br />Inspecfor's Signalure <br />�S,r� �'fa�: c,<-�-'; � 5�/'.c'„!''i <br />Dafe <br />Remarks <br />Call Er�;ineering Dept. 259 n�03 <br />24 Hours Deforc <br />f.011S�fUCi1011 IS 51�r' �.' <br />' MC)Tc' <br />Cli[Cli',VITN �'JATER <br />DEPT. FOR VJAT[R Ll�:r. <br />I.00N71UtlS F3L'FOF7E EXCAVAiION <br />�'� <br />( <br />,� ��;- <br />� _, <br />i .� <br />i � i �� ' <br />� <br />Variance Required , <br />Yes . .. _.... _ .. . .... <br />No _ . <br />s z .y G�� � � <br />ielephonc Number <br />�% - � -- '7i <br />Dale <br />s N� !=�r <br />Fce <br />DI�EPT,. APPROVAL % <br />Enginecrt ; � �'"`�(�^' //-G!' fy 9��/�� <br />{�'�'� Watcr , !�. / � J • %/ <br />1 Strcet ` � <br />JJ i <br />Communimtions " <br />Tmffic �l� �'-'� - <br />i <br />°lanninp `/f �? <br />�`," i,� __FOR --- <br />,-;,,; �f2 OftA1NA.G[ <br />I <br />'--- ------ <br />c� <br />