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SKETCH <br /> IWork to be donel � ' ' <br /> \ %%. _ — <br /> ! <br /> II ' <br /> I � <br /> — _ _ .� _- - , I <br /> , j I m �t Z <br /> m <br /> i � i <br /> I — I <br /> 9 / <br /> � <br /> / �— <br /> � � � <br /> � � / � <br /> ___/ .` � <br /> ! <br /> ,\\ I <br /> - �I <br /> The undcrsigned owner hereby agrees lo hold ard suve harmless the City of Variante Required I <br /> Evcrett from any and all daims fer damages thal m.,y arise becausc of Ihc Yes_._._........_.__._.. <br /> installalion and maintemmce of the improvemenl herelo appGrd fnr and No ._ . .. <br /> _ _._..___.. <br /> furlher agrces to remove same upon nolir.e irom Ihe Cily and ro replace all .. .� <br /> public property damaged .hereby. :.:)L-.i ! <br /> DP..Iva'::,o.A' _ S�C?)AN ,-' ' , � '- � <br /> _ORIVE\JAY. SEC7lON.._: (IV0 SCai^) �� " � " <br /> / ;:� � � � . . <br /> :��;.,� _ �;� . ,( ,_i <br /> � � '" $ignnlure of Applimnt / <br /> �,,='� _ �o' ''.l. , /� c`� �r�r'i'>� ni �'')L, <br /> �_ _�_� -�_- - --...._..... \d,� "�. _ ._..._._ , ....--.�. .. . 3A� �.yN�V(dG .�(AddressG�-�i���.' f� `7��'3� <br /> '_'� �� ��� -...:_..7::1.� i.l �: _ , <br /> ' �'�, �' __Y�.'� ��� � � �( a� <br /> ielephone Number <br /> o�� . -�.i.- �/A,c� .-� �, /97/ <br /> Date <br /> �� _. , <br /> Inzpecfor's Signaiure `L� � � <br /> 5 �� �_�-� <br /> /T NerC��/f�7� Fee <br /> Dafe <br /> OEPT. APPROVALS <br /> Remarks Enginccrs����LLi+iJ� `3�/7� <br /> Watcr �,'„�� T _i -? �l- n <br /> Strcet � <br /> Communications� <br /> TraHic :'c�-`r. % � � i 1 <br /> Planning CN^� � <br /> Call Engineering Dept. 259•t�803 ` NOTE � <br /> PROVIDE FOR <br /> 24 Hours before CHECK WITH 1vATER I PROP[R DRAINAGE <br /> construction is started. DEPT. FOR WATER LINE <br /> ICCATIONS BEFORE EXCAVATION <br />