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% � „! 1, � �'. <br />�� Y ._ <br />The undersignea owner hereby agrees 10 hold and sovc harmless the Cily of <br />Everett from any and all claims for damages that may arise becauze of the <br />insfallation and maintenance o( the �mprovement hereto applied for and <br />further agreez ro remove same upon notice irom thc City and to replacc all <br />public property damaged thereby. <br />-�-(q l / <br />Gi! - ���.'_' c"S�. C �...c.1_��C..._ _ <br />Inspector"' Signalure f-- <br />� `� � C� <br />Dcfa <br />I� <br />I I�I I� �r.�i <br />1 <br />I'� <br />� ` 1''C'?TE <br />• •-.r „•�TH �siaTFR <br />� , rr� . ,NE <br />C,Cri 1�:1P: S f� � �,:�'` FXCAVATION <br />f P�tov:����r �oR - <br />.I F^ �_. _ "'� <br />��.� •.I:. .�.,� <br />I'� <br />Varioncc Required <br />Ycs_. .... .... _ _. _ _...- <br />No___..._......_....._.. <br />� <br />, r . , <br />, `� <br />. . Signafure oF Applicanl , <br />- , � <br />, Address <br />- � %�C}):, <br />, /, ielephone Number , �t� <br />-, - c� 7 ��` Gt . <br />Dafe <br />S J „ . L .�/�,�% <br />Fee <br />DEPT. APPROVALS <br />� <br />Engineerz; � �r ��� "�^ � <br />Waler i : ._�i � ,. .:•r�.,,._: <br />Street _T : . . <br />� <br />Communicahons �' �'' '� ���`� <br />Planning <br />