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At the following location_ 7 c i e � A1ef MAMV & <br />SKETCH .__—N ) <br />(Work to be done) r r= </o <br />i <br />\ <br />N \ <br />lY <br />\t <br />W OtCh t.l C.1CQM tiro %L <br />RErDckrr-� --- <br />wE7M0RI- AVE. <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 !o remove some upon notice from the City and to replace all <br />public �+property damaged thereby. ! <br />r <br />Inspector's Signature <br />Date <br />60 blineering Dept. 259-8803 PROVIDE FOR <br />24 Nours before PROPER DRAINAGE <br />construction is started. <br />Variance Required <br />Yes _._. _. ..... <br />No <br />r 1 <br />Signature of Applicant <br />Address <br />Telephone Number <br />Dale <br />$ <br />)Fee <br />MOTE <br />%�fECK WITwTER ERINE <br />LOCATIONS BEFORE EX6AVATION <br />