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, <br /> � , <br /> i � <br /> � , fS' �/07 I <br />, I�o <br />� J Ps�� � � sc•,_' <br /> I j C,� <br /> i <br />� I J �� �o� <br /> j _/ 3 4' I <br /> . <br />' 3 ��i <br /> 0 ' 'il <br />� � � � <br /> � ' 1 <br />' �o' <br />� I � <br /> �' � ! i <br /> 'i� �� � <br /> \ <br /> The undersigned owner hereby agrces to hold and savc harmless the Cily of Varionce Required <br /> Everett from any and all claims for domages that may arise because of the Yes <br /> ._.. . _.__.. .__..... <br /> inslallalion and maintenancc o( the improvement here�n applied for and No._. ____ ._.. <br /> further agrees lo remove some upon notice {rom thr City and lo replace all �� ������ <br /> public properly damaged Ihcreby. I1��YS • Te�/�l) ��� 0�7��)��)y� <br /> � / � � <br /> DRIVEWAY SECTION -, �/ � <br /> NO SCALE cr.�:i . - �/ '� !� IG'� ' /�� �/ril�� . <br /> � Signal� e ol App canf <br /> ��D J � �{ /',�' <br /> ��� IP <br /> Address <br /> 30" 30 � <��a( ' J �� 7 <br /> ielephonz Number <br /> ��/�J�— <br /> Dafe <br /> Inspedor's Signafure E � �.^�� <br /> r <br /> �C� !f-t���4G Fee <br /> .J'�/-7 y <br /> Dafe <br /> DEPT. APPROVALS <br /> Remarks Engineers <br /> Water � <br /> Slreet '�t! � .-�i���s.�f-- <br /> Communicotions ��� '�'�'-����- �' <br /> � <br /> Traf(ic ���� �/ <br /> Planning-. .�7� ?� .o'_ n.i� �-' — 7Y' <br /> • �c:r� _ __ ---- ---- — , <br /> �;ali Enginee�ing Rept. 259��di1' CFIECK WITH WAT[R i'��U`JIDE FOF I <br /> 24 Hours betore DEPT. FOR WATER LINE PROFER DRAINAGE <br /> �onsiruction � ''arted. �orATIONS BEFORE FXCAVATION <br /> �_ <br /> ,. <br /> — .._ ...._. .. ....... ... .�:�,..�,. <br /> i _.._....... <br />