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At the following <br />SKETCH <br />IWork to be donel <br />rr.•.��_ ��_.os.c <br />�A1 Q .. .�CAE S � <br />� � <br />.��'y, <br />`�J <br />�G <br />f <br />Wot�\ �� <br />�OIUC 0 � J <br />�. <br />.GWe•a�tr<i� O�'�\ <br />�Osi. t.D �'�u��rcy__ <br />IIA=:�,. ,.�..,.,,.e.....,�,..,� _ w <br />��,�,� `� �,1" i J �'' <br />�"e `�}iw... <br />�� <br />;,..; �:�: i: 6i i�� �a �_ <br />The undersigned owner hereby agrees to hold and save harmless the Cify of <br />Everett from any and all claims for damagez fhat may arise because of fhe <br />installation and mainlenance of the imprnvement hereto applied for and <br />furiher agrees to remove same upon nolice from the City and to replace all <br />public property damaged Ihereby. <br />�" GL!� � r �PT has s�� �rd / a,s l s� k7' c� <br />J <br />�.e�3or�. �qvi� � <br />Ir.specfois $ignafure <br />_S/T6� C��f�C..t�G/J 8�?7�/ <br />'`ate <br />�all Engineenng Dept. 259 �3U3 <br />24 Hours before <br />conslrustion is started, <br />i�rri�yinE c.^,: <br />PROPER DRAINAGE <br />LX�s � % <br />� � "\ �' '`�/ <br />�� <br />P/jD/°pSE� �i <br />'';/=• .'�.�C��9 %X'x'D � <br />Variance Required <br />Yes. _ ............... _...._.. <br />No_.__... ._._...___.. <br />A � � I` —� <br />�/ <br />� � ���� <br />� Sigr�a!ur �pf Applicanf <br />r! { = ���;' � \t! �,•��� ��v,�- � <br />Address <br />� ' —� —; - <br />;�,:, _ _ L , � � � _ <br />✓Telephone Number <br />� /�cC-id-� � � � � � � . <br />� , <br />�are <br />�Water <br />Street. <br />Planning <br />� ��O�i E <br />CHECK WITH WAT[R <br />DEPT. FOR WATER LI�;E <br />�ACATIn�IS BEFORE [xCaVAT��M <br />Fee <br />� <br />.-. ...rl'.= .-�. f a .. ... <br />