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SKETCH <br /> IWork to be donel <br /> j � <br /> I � � <br /> .n a : � a � � {�,GPLAG� �r `�F �� <br /> , <br /> w, a �- � -0 �, p p � <br /> -- �('A�N D A�)�_i' ,;, <br /> _. � _ ___ - - -- - <br /> N I h\ <br /> ; �I ��i <br /> _,-_�.- �--�---- �_--___- <br /> The undersigned owner hereby agrees to holo and save harmless the City of Variance Reqvired <br /> Everett from ony and all claimi for damo�es that may arise becouse o( the Ycs. <br /> installotion and mainfenance of Ihe improvemenf hereio applied for and No._....� . <br /> further agrees fo remove same upon nolice !rom the City and to replace all -��`--����---� <br /> publi: property damaged Ihereby. <br /> � , V � �//1 r <br /> �t�..,. f � !! / '.. <br /> J ,��,;,r_t.,...-� <br /> Signafur�oF Appli nl <br /> �UoX �FI':.�^. . <br /> .s;'.- , r' _ <br /> �f'2 y ! � <��i�4�� <br /> Addross <br /> . <br /> �f ' • <br /> 4 <br /> � Telephone Number <br /> Dafe <br /> lnspectois Signafure � �, .�,� r��� /_� <br /> .S1T� �i�fC.C�4, 'r�.27�7f F� <br /> Date <br /> DEPT. APPROyALS <br /> S/DlEW'f�1.(! C�JN,Sl�'G�'i7E"D i3�,rr�c'.r. ����f"L/°�l�i �27�7i <br /> Remarkt Engineer� �� �~ <br /> Wa1er � <br /> Si%4 �/51�� l /'^H �.PiC 1 $treet �� .C'- °l F 7 <br /> Communical�i 3� �� --� a - - � <br /> Traf(ic �"%r"— <br /> Piminino '�i-, - <br /> Call Engineerird Depl. 259�5303 <br /> 24 Hours belorc !'FOV;C;c . .__��.4�� , NO7E <br /> COIISt(IIC1�Oft is started. � �R (;HECK N'17N \^lATEH <br /> FRU�eii DRAIiVAGE DEPT: FOR 1^JATER UNE <br /> LOCATI�NS BEFORE EXCAVATION <br /> ..._....,. <br />