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(Work to be done) <br />5EE OErAr4 <br />p�J P/E70 xoA,0W,,4 Y <br />The undersigied owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims for damages that may arise because of 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 />f AnIr rIA�a Z.<' I <br />4 . <br />Inspector's Signature <br />Date <br />2: I <br />GRAVE cD <br />-0c of ��',N ✓j <br />NO/� <br />X �Yo Y� du�Ner , re I. 1,0 1, Wis r <br />r� r 4�. exc. •4.e ►100, 4or 1awI ere"s�rvrc� b <br />eI�r60, �a'T Owned ekPeNs�) <br />Variance Required <br />By ceps <br />71;' P' wQ6niEk� <br />7 fe <br />0 <br />5 Telephone Number <br />op, —7G' <br />Dare <br />Fee <br />DFPT PPROV14LS r <br />J <br />Engineer Ark <br />X Water <br />Street <br />CommunicationsF-L� % <br />Traffic _ <br />Planning /" H 13 <br />" NOTE <br />CHECK WITH WATER <br />DEPT. FOR WATER LINE <br />LOCATIONS BEFORE EXCAV, <br />