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or, �o e one � <br /> -- - -- ' <br /> � <br /> . /// \\ �Y:L'C\ I .—. . <br /> i / G:FB " : i . <br /> �\ .. <br /> \`b'`:`;',:,. , .. .... <br /> , j <br /> \2_ _. --- � h1... . ; <br /> h9 . , <br /> �,' � -- <br /> ' _ <br /> _ -,\\;, .._�- . .—_r. <br /> � _ _ _ - e�_- 4- - - -- - - - - -1 <br /> i <br /> I � <br /> - - � _� <br /> ;- , <br /> I <br /> The undersigned owncn c�reby agrees to hold and save harmless the City of Variance Required <br /> Everett from any and all claims for damages that may arise because of Ihe Yes..._........._..... ..... <br /> installation and mainlenance of the improvemenf hemto applied for and No.__.....__._........_. <br /> further agrees to remove same upon nolice irom fhe Cily and lo replace a <br /> public property damaged thereby. , <br /> � _ .. �'f',� �a Y �';�f.i01�---"'._— �'3= / ,. \;� <br /> � :�� j_ <br /> ��• �.e�ca.,.� , 1� �n.;.�::� <br /> qSignalure oI Applic6ht <br /> '., � ...- `' . _. - - '- n1 � M �jl� L�b�t�..�._^ _ �.t� <br /> � (c <'-� <br /> � i � � . - .. ;�r' r� ? Address <br /> f.. �: :�f-.' � '^r ..-� ,y.,'"�. 4 t_ � � '` <br /> ; :�'~ `� �: ...�..,.,�_ A JO�a.ae= � '- � � I � �' C) J ' �.� iliy':.i <br /> �j '1- �y ltj, ielephone Number <br /> � ...� � 3 <br /> --:_._.� - --- - ----- '- ''� <br /> ' ------�•---.._---_.�_ � � Date <br /> � �^c� 'I ,� <br /> Inspecfor's Signature ���?�� � � l�� � <br /> '�: <br /> �,�; Fee <br /> -S r- l'L1,r!'.[�_F_./� `i//7% �s h',+,�: <br /> .,�� <br /> Date . <br /> �" DEPT. APPROVAlS <br /> � ."� � /o��i <br /> Remarks � Enginecr;� � ,_ <br /> Water ` - . !„ � <br /> ' Slrcof r=---___- -- --�-- -�-- -�-_._ <br /> ' Communicalions , � <br /> � - Tmf(ic �%lf �� - � <br /> � . Plonaing � �`'!�� <br /> P�,ovin� For� ------ __ <br /> � -, PROPER DRAINAGE <br /> Call E�� i ,�e��;�:u, f?cpt. 5: US03 � � ',i�;OT�. , <br /> 2Q iiGUrs 6efofC C�-��CK V�'ITH WATCR <br /> construction is started. �-+--��- • --- •DEPT. rnR N�-11 f'R ! ii��� <br /> � IOCATII!i�iS SL"f �iii�. f�;C1Y.4 -1'3A1-- —.-�.- <br />, <br />