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At fhe following location '�-'' ''' �- �� W <br />SKETCH <br />IWork to be done) <br />r - ' � �n °J <br />` 2� <br />13 <br />// �I <br />I <br />I <br />. � <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everetf from any and all claims for damages thal may arise because of tl�: <br />insfallafion and maintenance of the improvement hereto applied for and <br />furfher agrees fo remove same upon nolice from fhe Cify and to replace all <br />public property damaged thereby. <br />LE�+hY�. ��--S�C <br />(N-O-.: "S C Ai .��. ) <br />w ) , C. <br />� .� <br />�� j . ... . . .__.-, . .. . � � � .. 1 <br />-;�.._ - :�_ _ � �-� <br />�cfo U..L�i��.� 7-� /� ' 7� <br />Dale <br />Call 6igineering Dept. 259�8803 <br />24 Hou!s before <br />construction is started. <br />` II <br />_'___ _ __ .------�__ __--____ _ <br />PROVIDE FOR <br />PP,OPER DRAINAGE <br />�';�i � <br />�—� � � � , , <br />Variance Required <br />1►G� <br />� � �.', .. i, <br />.-" i .�li . :.L%.� ��;•�i <br />$igr� ure ,Qpplicanf <br />i <br />/ / <br />�7�� � �,�,.�nl r/7��+ <br />add,es, � <br />�'>;- i��.� <br />Telephone Number <br />Dafe <br />S /lj •� <br />Fee <br />DEPi. APPROVALS <br />Engineer ��_ _ <br />Water �le _:_,"-,-. %' h' 9� <br />i <br />Sfreef <br />Commvnita�l�i,oyns �� R,...—. <br />Tmffic�:_cs._�`}'�J - C -71 <br />Plannino ��� yE%t�t G %- L- 7/ <br />' 140TE <br />CHFCK 4VITH YJATER <br />^LP7. FOR WATER LINE <br />t-OCAi�O^�� R[FORE rXr,abAT10�- <br />