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At the following <br />SKETCH <br />IWork to be donel I <br />`� <br />D <br />U <br />i� <br />�� � <br />Thc undcrsigned owner hereby agrees lo hold and save harmless the Ciry of <br />Everetl from any ond all claims for damoges thal may arisc because o( the <br />installation and maintenancc of the improvement hereto applicd for and <br />furiher agrees to remove same upon notice (rom Ihe Ci�y and to replace all <br />public property domaged Ihcreby. <br />QH.IYEvqy ._ SlCTfON <br />ff�d'. SCAL�� <br />1 <br />1 V <br />�9 <br />� "- , ----_.__,..._� f- 30� <br />.�---- — t�—�: ���_..__� =� <br />p...r_ <br />� � � �� <br />Inspectois Sipnafure <br />��T %f�GKr 8/T/i <br />�o�e <br />Call Engin€erinN De���L �59�QR03 <br />24 Hours �clore <br />conslrurtion is startcd. <br />----- -. . .-- <br />pRovio� For <br />i'ROFER DRAINAGE / <br />Variance Required <br />Yes ..... . _. . .... <br />No. _. _._ _. _.. <br />/1'l��'ysV;L��� ;'-!'�;F-,_, c�, . <br />Signalure of Appliconl � <br />/i�3OV (�C1�� yG�c��, <br />Address <br />L�i_.'i .�'�`S�l> <br />Telephone Number <br />/-%C.'i� - � `/ — ; <br />Dafe n <br />L <br />I/ <br />s �T.'- � �c�c� 7/ <br />Fce �! ��� <br />J � <br />APPROVALS <br />Water ' <br />Street c' . � ,.� ,�" ' <br />Communicationi� � �G�-� A' <br />Trafi�c �—�—�/ <br />Planning �H/' <br />` NOTE :_.��.___,--...�. <br />f.HECI( V�4iN WATER <br />DEP7. FOf< WATER UNf. <br />lOCA710NS BEP�RE fRCAYATIQM <br />