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At the followino location <br />SKETCH <br />(Work to be done) <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 icrrovement hereto applied for and <br />further agrees to remove sortie upon notice from the City and to replace all <br />public properly damaged thereby. <br />..i <br />CY) <br />M. <br />CIO <br />Inspector's Signature <br />Date <br />irwZm <br />Variance Required <br />Yes . <br />No_... <br />5h%-:L... vn c <br />Water l 7- <br />Street <br />Communications <br />Traffic <br />Planning <br />DEPI. <br />