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SKETCH <br />IWork to be donel <br />�y�ij �Ci�L,r--. <br />m <br />�y� <br />G ' � <br />The undersigned owner hereby agrces lo hold and save harmless fhe City <br />Everett from any an.i all claims for damagez ihal may arise because of <br />installalion and maintenance of the improvemenl hereto applied for c <br />further agrees Io remove same upon nolice from ihe Ci1y and to replace <br />public property damoged thereby. J <br />v.E��•hY. -.:. E,LCTIOfu� <br />(;av-_s�n_ce� <br />!.�: �;i p �..::; °t.7 <br />�.tl� , , ___._._� .-�-9 <br />`��. _�.' � � �----�' <br />6� =--- 3 0' ---�, <br />���oS� <br />� 11—I��'/ � <br />Inspecfor's $ignalure <br />,i�F —�'�'�i�l'�E'r t� `� � � 2. <br />Dale <br />� �. . _'� I)li � ;.,�.'�. . <br />W} <br />�5: <br />pl <br />�'I <br />NE'tJ <br />D�r/ <br />��, <br />-, . , <br />._;<,., <br />9��3 <br />� •� �:li <br />�,:.tf�d. <br />Variancc Required <br />f�►� <br />� <br />x'% . / `� �'.� <br />,��: �.� �.�,�-.� <br />/� Signafure of Applicanf <br />I JD� �iJY?�''rdYP`��' a-ti.. <br />Address / <br />3.5'S�•• S � � � _ <br />ielephone Number <br />�����{�� <br />Dale <br />�� <br />5/7 <br />Fce P�i/�i S-/O•72 <br />,�y� � <br />DEPT. APPROVAL� <br />�� <br />Engineef " ��J � �✓ <br />Water <br />' ' T . <br />Street ^""""' � ��-�_. <br />Communimtion: �~ '� �''6y '"`- <br />�� � ._--`.. ::. -_ �- _ -� -�� <br />r�aFr� �,N� <br />Planning S�- �.... 7 �-'.". <br />1'. .. . : <br />:��:-, <br />� _, ,.���:_:� �;,,.� <br />I :'F�TIO;.�, 8_ ,. <br />