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y'��Jr.��/'iL'�//1��Q''G�i/.!— I <br />� 1 �'� <br />�-'-53 7� � I <br />�a 1 9 O.i 'Q �'� �. - . <br />. . . \ �•�•l� .v^��'•• �i�:'� ....� <br />' �. � <br />; . V ' � �� �L . � : �l <br />v .. ' r : � �. - a : ,p . 1%:.r,>i ' . <br />- _ _ � '_.:.� . ..__._..-.—�� s -- .. .. __-, � <br />� .-- J <br />-�,:: — '. . <br />The undersigned owncr hereby agrecs io hold and save harmless Ihe City of <br />Everett from any and all claims for damages thet may arise bemuse of the <br />installation and maintenancc of Ihe improvement herelo opplied for and <br />furthcr agrees to remove same upon notice irom the City and lo replace all <br />public property damaged thereby. <br />G�`��'L'�'C L� <br />�/�/7� <br />�d/�o <br />� �/'7 A <br />c:�.r��C%C. C'<?sY.1.� �(iU-� <br />�.�P. 7y BC Go.o-�f7, �� <br />�V�, a�t��.�s_�r�F�,, <br />L� ,r�, <br />' <br />' •�- <br />1 ��7 .rC./", r -��i:-�CG..+./:.:.,. <br />Inspeclor's�$ijnature ` � <br />� // // G: <br />Uj" "-" ,' ., ; <br />Dale <br />__- -- --^- <br />l <br />� � C+llDf�'1�,� ii�1Q.=i- ', <br />� /!'!�'/'��' f+,,,�"�:; ,� �� <br />1 <br />� oi�Fc ri;,,i - , <br />_\.� � I <br />•�c.c.�� <br />1 •I:-����1� <br />�,'i <br />� �I <br />1 <br />� �! <br />G� r — _ t <br />�•. <br />, .-- . __.—._____ ......__......_..___�,.. <br />_. . .� ..�._� _. �i�� <br />{.. <br />_ _ _._ <br />t:: <br />- .: _- __, __ � , <br />Variance Required <br />Yes. _ _. ........._... . _. <br />No. . . .. .... _. . <br />� i ''' � <br />%' � � ,. <br />; "r <br />� . Signalure ol Applimnl <br />�,�ZJ :;t'I(l�?lir, ,�5�✓�,I <br />Address ' <br />ta3 � G477 <br />Telephone Number <br />- Date -- <br />'� Ojr � - �( O�pJ <br />� :?' -J '7 � / /� i Q <br />Fce <br />Engineers <br />Waler_ <br />Strecl _ <br />Traffic. _ � <br />Pianninp _ <br />DEPT. <br />� <br />c? c <br />