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f � _ _ _ � . _ <br /> i r m ._ <br /> , � .. <br /> Ad <br /> l �F I n__ <br /> I I — <br /> � ( , . <br /> li �.t . <br /> �, �� <br /> ! I ' I <br /> i � 1 � �, <br /> ."F.t. ! Ri r� I <br /> �� 11'�E" ' n_� i �i <br /> I�� ' �' � �I <br /> i —Zo' � <br /> � I <br /> � �. - - -- - i <br /> _ � <br /> The undersigned ownen c�reby agrees lo hold and savc harmless Ihc Ci1y of Variance Required <br /> Everett from any and all cluims for damages Ihal moy arise becnu:e o( Ihe <br /> Yes..._........__._........ <br /> installalion and maintenance of the improvemenl herelo applied for and .�5, i No_._. <br /> further ogrees to remove same upon nofice from the City and to replace all , ��� <br /> . .�.i) <br /> public properfy damaged thereby. <br /> _____._.._._. _ .. .__....__..�.�...__._.--.� <br /> V;:l� � .�'r'. . S::CTION �_ <br /> .DRIv'E��IAY:. S[CTION::=_' " (,Jb . :,Ce�tt) � <br /> — � �������.f4.�:�� ,✓--'7� z i �'/ <br /> Signalure of Applicanf <br /> ��.�._��::� _-- ��U I i-7Y0�.'{,_, _ �M / ?�'�=' iJC�/�f -/�' /V�, <br /> .�.�_..3 ...___-' w ` _i:.1.�� l. ��K�NLJCC�'�dres�i,.'/��,1-�. �/�(<.';�� <br /> c---- ._._.�. �, �7C1�— / l/d' <br /> � 7elephone Number <br /> 0: S_e 41e: . - <br /> Dafe <br /> Inspecfor's Signalure S " ' � '?i!'�,_ .-�i�' '."' � ,. . , <br /> �/7 / Fee <br /> J`�/TE �i'�f.l."'��/� / �7/ <br /> Da(e <br /> G EP7 APPRO�ALS <br /> Remarkz Engincers -�- ' " /L 3/�/7i <br /> Wakr � �:,1�' �i_a.s 3'-i J. 7J <br /> Strcet � <br /> Comm ^�^�'^ <br /> Traffic ^.�.�' ��_— <br /> Planning '"'�� <br /> Call Engineering DepL 259•8&U3 _ <br /> 24 Hours before ' NOTE PROVIDE fOR <br /> consfruc.tion is started. CH[CK 1vI7H WATER PROPER DRAINAGE <br /> DEPT. FOR WATER LINE <br /> LOCATIONS E3EFORE EXCAVATION <br />