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nr me �v��.......� . ,..�.w•,..r«+w..�`..".. . <br /> _.�.�,,.. _.. _ .____- _-___-__—-_ <br /> SKETCH <br /> lWork to be donel <br /> X <br /> 4� <br /> r� <br /> Variance Required <br /> Yes__. - <br /> The undersigned owner hereby agrees to hold and save harmless the City of No._.-......__�._..--.._ <br /> Everett from any and a�� claims for damages ihat may arise beeds{or{and . <br /> instollalion and maintenance of ihe improvemenf herelo apP <br /> furlher agrees to remove same upon notice irom ihe City and to replace all <br /> public property damaged thereby. <br /> q- �-� � 2l� Q/7L, Signature of Applicant <br /> (.�ry��r.� <br /> /1-,/.,� - . Address <br /> �V� <br /> ielephone Number <br /> Dafe <br /> � ���f/'� S <br /> � <br /> Inspecfor' �gnoture Fee <br /> O ��� �� ------ <br /> Date DEPT. APPROVALS <br /> /' fr) <br /> n 1 \� l n-C=.s - <br /> Engineers _. m <br /> Water�a� <br /> Remarkt . Slreef --`�-- <br /> '`�; <br /> Communications � . <br /> Tmfiic <br /> Planning -- <br /> �. <br /> F:' <br /> � <br />