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Boo <br />rr� <br />/ <br />\ <br />b <br />G <br />a <br />s <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 of the <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove some upon notice from the City and to replace all <br />public property damaged thereby. <br />V <br />Inspector's Signature <br />`;J 77; .s�z c c D `Y1 �i 17Z <br />Date <br />Variance Required <br />No_. __....... ......... <br />Signature of Applicant <br />Telephone Number <br />Dale <br />E "5-00 `( , <br />Fee <br />DEPT. APPROVALS <br />Engineers <br />Water T 3 -23 `7 Z- <br />Street -- <br />Communications Z— z z— 7 Z ' F' <br />Traffic •• � ` <br />Planning <br />