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��5 ,, , , - , - , ,�, -- ,,.. . ;-.� L� ` � - <br /> At the following location _ �. � _— � " '" — <br /> i � <br /> SKETCH I , I � <br /> (Work to be donel G-� 7 % t <br /> a <br /> �i I� <br /> e <br /> I i � — � <br /> I / � I <br /> i �� �i <br /> ! ' <br /> �• <br /> _ �! <br /> i <br /> J `. ,:'.._ 1:� f <br /> RELUCRTE r <br /> j ��v��`L lU . . .Li <br /> i `: r; Q%Vd � _ �4PFXo3'�8��. <br /> � �— <br /> 1 , � — <br /> �' <br /> — — — — — — —/,- - - � . !=- - - _ _ _� — <br /> ,�OGE �7L �",Qy'-f/ �I� ' �OD, <br /> __ — — — _ __ �_ _— _ _ _—. �_ —' _ _ .—. <br /> � NTE�cizy Av �= <br /> . _--- -----___-------�--------------- <br /> The undersigned owner hereby amecs lo hold and snvc harmlcss the City of Variance Required <br /> Everett from any and al! doims for damages thai may arise because o! thc Yes........ . .__. . <br /> inslallalion ond maintenonce o( the improvement hereto applied Ic�r ond No. ._. .. _._.. .. <br /> furlher agrees to remove samc upun nolice from ihc Cily and to rep!ace all � ����� <br /> public properly damaged Ihcreby. <br /> � a <br /> / � ���� <br /> URIVEWAY SECTION ;�. ���� � `�' ,�` ���01"`��. <br /> �� Y�/., � � <br /> � NO hSCALE � � . � Signature'ol'�tpp�"�� <br /> � �� `�-f_ '..i-�'''� .S< � r' . <br /> '�� LIP _ .<� -Ec�!•�,., <br /> , Address <br /> 30'�_ 30" .-7.—�Gr - cS C.-/ �' <br /> � Telephone Number <br /> j �'G -- i �'C/ 7c:� <br /> . ,� � Dafe ;� <br /> �C/Yh��1�.�T J'r'.7 t4''!3� �a'�� �D'Lt r.,:� '�� "� ` /� . <br /> Inspedors Signalure S //=�� .=�� �� � �'.1 � � <br /> . . ,. � � -,/-�.f , ' . _ <br /> / / � Fce <br /> .)�I�=' -i�/,�'�C-�r/ i/-��9 .�ilr <br /> Dafe <br /> � i i , DEPT. APPROVALS <br /> Jy ! <br /> -'�a- IVIv'" I 1c'!�'/ ':�"lc�r, i � O'� �l.-�C1, 'I_ �. � -J <br /> Rem�vks � Engineen ��"' '�� � — <br /> �'� Watcr �` i �!"'�'�. . _ <br /> Sfrecl '� _,�.i. � /�. .c...:._ <br /> -- Communimfio s - .` � - :"�T' <br /> Traffic '�-' �'' ��"-� <br /> _' !� i �'� l:' ��.�.cJ �-�� ..; <br /> __ Planni��' •: ... <br /> 1�G�-'1• � :.� � �• . <br /> Z. 27-%y <br /> __ _-- ------ <br /> � ':aJa F'RUiIUE f J , <br /> ' t�4C97E <br /> CHF,^,K WITH WATER � PROPEF� DRAIIlA(�'v <br /> �sr�;,.; , taiiad, DEPT. FOR WAT[R LI�lE <br /> I f'r'nTIn��S PrF��F� f-y[•r`:A710��' <br /> - ' .�:�.c�.. <br />