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SKETCH <br />(Work to be done) <br />7s <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims for damages that may arise because r.f the <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove same upon notice from the City and to replace all <br />public property damaged thereby. <br />Inspector's Signature <br />%,3/r,E C%/L-txxC J) <br />Date <br />AVF <br />Variance Required <br />ti �v <br />/ ignature of AAlicant <br />353 8_fl/G�l f/Il</r�cN <br />yi 3 zAddress <br />�-« � <br />Telephone Number <br />L <br />Date jn <br />$ ! Li �l/ <br />Fee <br />DEPT. APPROVALS <br />Engineer <br />Water t Street <br />Communication <br />Communications <br />Traffic <br />Planning <br />