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SKETCH _ <br />(Work to be done) — <br />'I— <br />VJ <br />- ,pWrWosrCo <br />No _? r <br />jJf?LVNLJ(st" G9?cN fj,(JSi/Y <br />WETMo?E AVF TOl3E ON hyATL+ PRovF�.� <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims for damages that may arise because of the <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove same upon notice from the City and to replace all <br />public property damaged thereby. <br />Inspector's Signature <br />Date <br />Remarks <br />PROVIDE FOR. <br />PROPER DRAINAGE <br />Variance Required <br />Yes <br />No _ <br />10r:, s Signature of Ap/p�lican <br />Address <br />�- <br />Telephone Number • <br />Date r <br />5 > — J <br />ram^. <br />Fee <br />Call Enaloeering NO. 24-803 <br />24 Hours before <br />ftnstruclion Is started. <br />Engineer <br />' G <br />Water <br />Street <br />Planning L L. C0(1c4 -._ 4[" <br />NOTE <br />CHECK W7H WATEp <br />DEPT. FOR WATER' <br />LOCATIONS BEFOR�,.,iAVATMR <br />