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3 1 Z- <br />w 7 -7 <br />The undonigned 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 theipby. <br />DRIVEWAY SECTION <br />NO SC9LE <br />I" LIP <br />i 30"/1f e30 _I <br />-9(o-73 <br />Inspector's Signature <br />si r4 <br />Dofe <br />Remarks <br />Call Engineering Dept. 259.8813 <br />24 Hours bffore <br />Construction i( 'ed. <br />DOTE <br />CHECK WITH WATER <br />DEPT. FOR WATER LINE <br />LOCATIONS BEFORE EXCAVATIUM <br />louse �' P/a) <br />R"- Verse d <br />Variance Required <br />Yes <br />No <br />Signature of Ap,. itcant <br />moo. 6� C//s- <br />Address <br />33y-'-G74 <br />Telephone Number <br />/' zq <br />'Date �Cy/O 6 —1--7'3 <br />Fee <br />ti/� , <br />C -C Z5� <br />Water I{L�y/ <br />Street 7h,r.�' i.2 <br />PROVIDE FOR <br />PROPER DRAINAGE <br />W..4, <br />13 <br />