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8 7 rN �5 771PEE' T <br />�ac� CONC. f�OSTS—� <br />I �o <br />fhe 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 some upon notice from the City and to replace all <br />public property damaged thereby. <br />NOTE / <br />PO S TS NOT NEC Es s,4 eiL v ro ee 5 Pw cEU <br />ENri.eE LEND rN or sad-N .oNo WtCZ r <br />RzeeEer'y <br />NOTE 2 <br />ROSTS TD ee comsree -,=. O TD r"eEYEN7" <br />.dc/�'JMU[�iLES FA�c�Y! CurTiNG ,Gc.eass <br />Af'PL/CANTS /�20/'EeTy, 01 n <br />Inspector's Signature <br />,57/l7F ECG -FA ���JO <br />Date <br />r <br />ddl <br />AO"' <br />a <br />.Sd <br />W <br />4 <br />o <br />i <br />� <br />Variance Required <br />Yes <br />No <br />Signature of Applicant <br />Address <br />Telephone Number <br />Dale <br />Fee <br />DEPT. APPROVALS <br />O <br />Engineers <br />Street _ <br />Communications <br />Planning /' ,, •!i r <br />