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� � - <br /> � �/ � ��, g��! � � � � <br /> _- � _ 00 � �� <br /> -��-� ��+�:: � <br /> y ? � ;r �, � y � � <br /> � <br /> i � � <br /> — � , '86 � ae' � � <br /> • �' � q a V <br /> � �'�e•��� _`� ►� ♦ A I <br /> . ► . ' J `J� � _"_-_ � <br /> _� - _ ' -_ <br /> � ;—. _�i-. i:.� ✓ .��, Y A u E - <br /> The undersigned owner bereby agrees ro hold and save harmless the City of Variance Required <br /> Everett from any and oll daims for damages tha� may arise because oi the Yes _. . ...___ ..... .. <br /> ins�olla�ion and mainlenonce oi thc improvement hereto applied for and No <br /> (urther agrees �o remove same upon notice from t6e City and to replace all � � � " <br /> poblic properiy damoged the�eb�. <br /> Sign�lure ol Applicanl <br /> �:dd.e,� <br /> ielephone Number <br /> � Dale <br /> Inspectoi s Signolure E _3 Q Q° D U E• <br /> Fee <br /> Dafe <br /> DEPT. APPROVALS <br /> Remarka <br /> Enginecrs <br /> Warer.�d't'� T� 3-2.3- 7 Z-- <br /> Streel ---�-- <br /> �'-Communications r/= / ��{ �� ." .� .-��=-}..._��- <br /> Troffic� �`�-�'� ' 3- 710- 7L <br /> _. Planning R U-`' i - u'- 7Z <br /> 1 . . _. " i''��.J� f. �y � . <br /> �.''r, � �.! f� � 1'J1TH ��:1TE4 '1� Ci�I I(�('.i�- (%XCc� ✓i{�i�/ya � !is/ �� �`,�/[y� , <br /> i .. . .. , �i i, ...:L !'_?( i�1R 'tiJ��7f_`i LIPIE Unc rrJroa�^c{ /�•1Ji.�, i��. <br /> L'`C.,51V';a GEFORE LXCa`.ATION Call [ngincerina r^:t. � <br /> 1 ���� � 24 Houc b't��rr <br /> � �nnsirur'- �e farlr^. <br />