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4 I <br />NOT <br />I <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 1596 <br />further agrees to remove some upon notice from The City and to replace all <br />public property damaged thereby. <br />Dr3IVe\JAY t'CCTION.-. 1 <br />Inspector's Signature <br />, 7",rx <br />Date <br />Call Engineering Den). 259.8803 <br />24 Hours before <br />construction is started. <br />Variance Required <br />Yes .... <br />No <br />(!!:i :;CAI <br />Signature of Applicant10 <br />T <br />M <br />Address <br />PROVIDE FOR <br />PfiO?LR DRMir!n,GE <br />55-2SSI' r`a !? <br />Telephone Number <br />Or <br />Date <br />s �r <br />ice- ifl3 7i <br />Fee <br />DEPT. APPROVALS <br />Engineers <br />Water <br />Street <br />Communicatio�s�./^`r"'*' <br />Traffic <br />sr l <br />Planning <br />' NOTE <br />CHECK WITH WATER <br />rlrpr. FOR WATER LINE <br />RYF0RE EXCAVATION . <br />r't r 1 <br />