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SKETCH <br />fWork to be do�el <br />\ <br />� <br />�—� ��'. ;' : <br />The undersigned owner hereby agrees to hold and save harmless thc Cily of <br />Everett irom any and nll daims lor damages tfwt may arise becaose of the <br />instollalion and maintenance of the improvement hereto applied for and <br />further agrees to remove same upon notice from the Cily and fo rep�ace all <br />public property damoged ihereby. <br />(M1!D'."SCAtC) <br />�� �,. i �. <br />,,,�-:.;_.._.___-''•'_ f.� <br />_,.�_,�— <br />Inspecfor's Signolure <br />. S'lTF_ �/�_FC,�F1% 6/3�7/ <br />Date <br />Remurkt <br />Call Engineerii�g Uept. 259�8803 <br />24 Haurs be(ore <br />construclion is started. <br />�,.i:: � <br />3 a :-;_� <br />' NOTE <br />CH!'CK 1VITF� WATER <br />DEPT. FOR Vd�TER �WE <br />LOCA i'IONS Ei�FpRE EXCAVATION <br />Variance Requirr.d <br />Yes. _ ......................... <br />No... _ _.......... _......... <br />.�-�:� 02- �o. , <br />��3 — �2 3 :� 1 <br />ielephone Number <br />6-�S �i <br />na�e <br />a �—��—`� �,1-�0�'� �� � 7/ <br />Fee <br />Water <br />Sireet , <br />Planning <br />('ROVID� FOR <br />PRUPER DRAINA6E I <br />// <br />