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- <br /> __ __ -_ _ , <br /> � <br /> � o <br /> L�T 33 r1 <br /> y <br /> � G _ - — <br /> 4 I <br /> i <br /> i <br /> I I <br /> � --- � <br /> I � � <br /> ^,i <br /> KD 5C/�L� i <br /> �� <br /> 9. <br /> '____—_--_ _____" _' _____ ' <br /> _—_ :uc�� :�.a' '-__ <br /> _F/`1F_IZS�}l�' PI AGC_----- -_ <br /> The undcrsigned ownc� �icreby agrees to hold and save harmless the City o( Variance Required <br /> Everett from any and all claims for damages thal may arise because of the Yes.... <br /> . ..._..___ ___... <br /> installafion and maintenance of I�ie improvement hereto applied for and <br /> further agrees to remove same upon notice from the Cily and to replace al� No......__...... .......... <br /> public property damoged thereby. ��i��J�%� ' <br /> 9RIYEWAY_'SFCTION:::._. ' � �lYES�/!sY:.�'_3iCL10N ��� �J, / <br /> (T.fO-_.SCJtLS� I'C /fL✓��YJ ��<'��v�'�o7 <br /> -------y� Signalure o( Appliconf / <br /> t—^r �� DO ti �O� ��.0�'_� �� G) <br /> � �" `_ _��. � �J>-'��� ! /, <br /> i � . �,''41 p ��'6L'/..4CJCC'l/ddre�s(l/'J S,r/, ��S"G �it: <br /> �� * ���3 — l7/ � <br /> Telephone Number <br /> -0 =3�6��t: ._ . <br /> � Dafc <br /> , r ..�y�,.:� <br /> `� ... -Z�/�.,�:%i <br /> Inspector's Signafure . b +t�'— <br /> .Sir� CwEe.x,� 3/7/�i Fee <br /> Dafe <br /> DEPT. APPROVALS <br /> „—.J-_rr��G1:L��`3�/1�>/ <br /> Remarkt Engineersr/ K�' � / �_ <br /> Water � <br /> Street <br /> i <br /> Comm�������� / = <br /> . . Traf(ic � <��=� <br /> Planning '°�' <br /> Call Engineering Dept. 259•8803 � NOTE PROVIDE FOR <br /> CHECK WITH WATER PROPER DRAINAGE <br /> 24 Hours before DEPT. FOR WATER LINE <br /> conslruction is started. LOCATIONS OEFORE EXCAVATIO ' <br />