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At ihc following <br />SKETCH <br />(Work to be donel <br />G' 9z g" <br />_ ..—.__ <br />-,_ . <br />---�. i <br />��o � -'_ - _ �s'N.., <br />/ - _ <br />Not fio �. f!. <br />ba covo��� <br />� - . � � KJ <br />The under:igned owncn c�reby agrees lo hold and save harmless Ihc City of <br />Everett irom any and all claims (or damages Ihaf may arise because of the (� r, <br />installalion and mainlenancc of Ihe improvemenl hereto applied for and J . <br />furlher ac�rees lo remove same upon notice irom Ihe Cily and fo replace all 'e>�+r „ <br />public properly damaged Ihereby. "� � "�� <br />Inspecloi s Signalure <br />I <br />\. <br />1�= y0 <br />Variance Required <br />Yes............. _ _.. . _..... <br />VEwAY.��_:_5£CY/_ p— h(_—� t/�f ,✓ .s'' F� � <br />�( rZJ'0.=_�5 C A 4[ �___ �Jf- '��' / '/�l�: �� . _. . c. _ e.: .. <br />` $ignalure oF Applicanl <br />„ <br />r� .r{ <br />.,l.,��„ �r <br />. \� -...�..���. ' �-�� _----�—^__--'-'-`t�� <br />�ire c"rs�c:,cF_n_ �%/}��7! <br />Dale � � <br />M <br />Call Cngineering DepL '[;i9•8803 <br />24 Hours before <br />eonstrucfion is stafted. <br />��a'�� i�c��` <br />�,, ,.v <br />E1'�'" <br />p�?���;�in� FOR — <br />PI�UFER DRAINAGE <br />� U. 9.s�� <br />Address <br />� S9— 91' 1/ <br />Telephane Number <br />d�' – a �/ ' �/ <br />Dafe <br />s !%. SO ����t'i�,. _ <br />Waler � r� �� ,7 , n <br />Strecl �(_1-,_;,�. '--_-� <br />Traffic � <br />Planning <br />Fee <br />ti <br />` NOl"E <br />CNECK WITN VJFT[R <br />p:.;;7. FUR NJATER UNE <br />�, „-.., � �r�n;g R�F�aE EkCAVATION <br />