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i <br />EXPFUA SIOA) JorNT- <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 some upon notice from the City and to replace all <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />Date <br />1 <br />' <br />Call EnginecrinB Debt %4a`gNOTE Ye- <br />9N3 <br />24 Hours IOrO CHECK WITH WATER <br />construction DEPT. FOR WATER LINE <br />t(s+led. \' LOCATIONS BEFORE EXCAVATION <br />EXIST, DILL.) <br />r_. M.'U.T. <br />Variance Required <br />Yes <br />No <br />PJo <br />Signature 61 Applicant <br />LL. rN Addrism <br />Telephone Number <br />Date <br />$ t�O GEC <br />Engineers:_ <br />s Water <br />Street <br />Traffic — <br />Rlanning <br />PI20FCh DI(Aiiwi <br />a .Ge. <br />