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IWork to be donel <br /> 1 r' <br /> � <br /> ,� <br /> � <br /> � <br /> ., , <br /> � �'_' <br /> LL <br /> � <br /> � ! 2�✓ <br /> � � i <br /> S <br /> � <br /> i � ,� I3� <br /> t � � <br /> r � - <br /> I��_ loo� � _i� <br /> � <br /> 3� <br /> �� <br /> The undersigned ownen c�reby agrees to hold and save harmless the City of Variancc Requiud <br /> Everett irom any and ull daims for domages that may arisc because of tFc Ycs._............._....._... <br /> installation and mointenance o! thc improvement hereto applied for and No .___... ._._.__._. <br /> furlher agrees to remove same upon notice from fhe Cily cnd to replacr. all <br /> public property damaged thereby. <br /> . ... ......___.�._'.__. ,1" <br /> GR3Y5-,.rhY. ... SECf.IQN K � i�/ G9 J•, <br /> �tiD SCALE �^ >'�-y"/ c.�, //t�Lcg'�'-i <br /> a . � �_ �. <br /> $ig6alur= of Applitanl <br /> �,p � <br /> „ „ �S t% - .�/1.�1o.-C��c`u r'. <br /> }'��.� s� f,(if�lf?SS � <br /> � I ..__�...,....,i_C..� .�.�� - <br /> _t,� �.f p .- r�• <br /> ..�d� `. � .��,Z ��/dJ� <br /> � • �� 'y, Telephone Number <br /> � �� a� �/ <br /> �--R- — Date � <br /> on �/ �j� � <br /> Inspecloi s Si�nolure S ���� '-"�'5�-�--�-� <br /> � Fee <br /> ��� C/%/c�_l�.E�6��� �/.c��% <br /> Dote <br /> DEPT. APPROVALS <br /> � . . � <br /> ' �" B Z3/// <br /> Remarks Enginee�s'' � <br /> Waler ' � , <br /> Strcet � "� " ' <br /> Communicatio's r"" � b � � <br /> Traf(ic L— <br /> Planning <br /> -- ` NOTE <br /> Call Engineering Dept. 259•8503 �`�OVIDE FOR �Fi[�K �vITH WATER <br /> 24 Nours 6elore �'�OPER DRAINAGE [;��T. FOR V�ATER LINE <br /> construction is sta�led. I.UL'.ATJONS DEFORE ExCAVATION <br />