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IWork to be donel I i <br /> � <br /> i i <br /> � <br /> i � - _ <br /> ,', - , <br /> � L1SP. C✓�'VC.'. D�P/VE _� <br /> �- -- £�l' � � <br /> I l ¢�o � <br /> � l45 il <br /> �,, � I <br /> ,, <br /> �� --- n; <br /> � a <br /> � `J �) � �� <br /> i <br /> i i <br /> i <br /> The undersigned owncn c�reby agrecs lo hold and savc harmless ihe Cily of Varionce Required <br /> Everett from any and all daims for damages thaf may arise betause of Ihe Yes.__..... <br /> ..__............ <br /> inslallalion and mainfenance of the improvemenl herclo applied {or and No <br /> forlher agrees to �emove same upon notice (rom the Gi1y and to replace all ��-� ��--���-��������--���- <br /> public property damaged ihereby. <br /> � <br /> � J <br /> \ . l.% ' . ��i. ' .1,. <br /> � NO i E: CHECK �+ I TH WATER UEPTART�u1ENT Signarore oF Applicant ' <br /> FGR WATER LINE LOCATIUNS <br /> GEFORE EXCAVATION <br /> Address <br /> �� ielephone Number <br /> � <br /> _ N <br /> �—%� �. �� � Dafe <br /> �"��r,�y`•! _ ��.+-c.c�`- 5 <br /> Inspecfor'x��gnalure <br /> /7/ � � Fee <br /> �� >L''/ G-. .I <br /> r ' <br /> Dale <br /> DEPT. APPROVALS <br /> Remarks Engineers._�� ��� <br /> � Waler ' �:"� . s, : �' _ � /i✓r•.� ,._ <br /> Slrcet <br /> Communimtions '� '''�' <br /> Traffic <br /> Planning <br /> i <br />