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IWork to bc doncl <br /> -�--� -�-::}---- -_. _.- --- - I �1 � j <br /> io <br /> � �_�.o__ I , <br /> 1 <br /> � <br /> � ;;, <br /> � - -- ,� ;, <br /> - __ -- ,1;__ <br /> ___ _ , <br /> - �_ - <br /> ----------- . , - _ �� � <br /> --- � � _:,_ <br /> EMEf�'SON PLAC� <br /> The undenigned owner hereby agreez te hold and sove harmless the Cily of Voriance Required <br /> Everett from any and all daims for dc•uages lhat may orise because o( ihe Yes.___..._......_.._.... <br /> inslallalion and maintenance of ihe improvemenl hereto applied {or and No.._ _._._ _....._.... <br /> f�rther agrees lo remove :ame upon noiice from the Cily and to replace all <br /> publi111c propnAy d�ma�ed.��i�erc��p:"_-yr;.T(OH <br /> ! (iV�O-�.�SCAL:� ` ! �, �' - . , /� - <br /> � L// < <br /> �liLl/�19f� `�'�-��-`�,. <br /> . 4gnafure of App icanl <br /> � L��:; soM y�G � <br /> � � '��.�a r�, '- � � u�:--. <br /> ---�--- Address <br /> . �-- , .» �) `� ` �/��Z <br /> � � � - � �-``��= ielephone Number <br /> �— � �� �/ <br /> Date 1 ' <br /> c f' �p-��� <br /> Inspedor's $ignalure 5 �� �( � <br /> Fee <br /> �T�C �i./cr",E�.=i� ��.'L// <br /> Dale <br /> D PT. p�PROVALS <br /> Remarks Engincers <br /> L/ ��i���' / �7l <br /> Watcr�.�i^'-�' 7 <br /> Slreet — <br /> Commummh�ns�--�-f�� �• �• r!L' .�1 <br /> Tmffic ,/" '�v G/zi ��/ � <br /> Planning �'"�f� <br /> PROVIDE �Oa <br /> ' NOTE PROPER ORq�h�qGC <br /> Call Engineerirg Dept. 259 8503 CHECK WITH WATER <br /> 24 Hours betore �EPT. fOR N,�A7ER LINE <br /> 1.00ATIOiVS E3EFORE EXCAVATION <br /> Construclien is started. <br />