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4 <br />r� <br />zsoo �I I9 <br />N <br />r <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims for damages that may arise because of the <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove some upon notice from the City and to replace all <br />__Publiq property damaged thereby. <br />MP <br />Inspectors Signature <br />[ • aPL/ YZ �O <br />—Date <br />Remarks <br />1«„ir <br />Cell Engineering Dept. 2IiPM <br />24 Hours before <br />to*ruc ion i; sferA <br />PROVIDE FOR <br />PRO; --ER DRMI�:ACE <br />Y. S-QC—MN i <br />3503 <br />Variance Required <br />Yes_ .— <br />No..... ..... <br />M <br />3<3— <br />Telephone Number <br />a o _ <br />Gale / <br />$ <br />Fee <br />Street v r <br />Communications <br />Planning <br />NOTE <br />'CHLCK WITH WATER <br />DEPT. FOR WATER LINE <br />LOCATIONS BEFORE EXCAVATION <br />A y. <br />