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SICETCH <br />IWork tc <br />The undcrsigned owner hereby ogrecs to hdd ond save hormless the City of <br />Everett from ony ond all daims for damages thot mcy orise becouse of the <br />installalion ond mointenancc of ihc impr�venenl hcreto applied for and <br />further cgrces to remove same upon notice from ihe City and to rcploce oll <br />pvblic p�operty damoged ihcteby. <br />7 <br />�'ti ,�� y��� ��"4/>0 <br />/�(��t� � <br />�� _._... ,.� � __ � —��// <br />� .� ��.. j'i. .�' ..�l�'J <br />Inspector s Signafure <br />Dole <br />Vnrionce Required <br />Yes. _. .. . _. __ . <br />No. .. .. ..._..... <br />i.Vt.��i~�'.,i' . � • 'i • �. /'�/ . . <br />Signafurc of Applicanf <br />�, _ -_ . . ., . - '- <br />$ <br />_ Address <br />Telephone Num6er <br />� �: <br />Fee <br />D[Pi. APPROVALS <br />: �� Engineersr -U � �^� � �� �v�, — <br />��-����'��'VJater v <br />r <br />Street � c"tt..s-"r ,/lr:' <br />Communications - '�� '%,^�" �- <br />TraHit <br />Planning <br />