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Itic <br />SCA � r% <br />L C) <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from otry and all claims for damages that may arise becouse of the <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove same upon notice from the City and to replace all <br />public property dumaged thereby. <br />DRIVEWAY SECTION <br />NO SME <br />+l" LIP <br />3O'�L 30" <br />Inspec�Signature <br />Date <br />Remarks <br />Call Engineering Dept. 2598813 <br />24 Hours before <br />construe ' started. <br />' NOTE <br />CHECK WITH \1JATF9 <br />DFPT. FOR ViATER LINE <br />U`('A.1,1"NS grVO tE E'/CP.VATION <br />Variance Required <br />Yes <br />No <br />Signature of Applicant <br />Address <br />Telephone Number <br />/ Date <br />• 50 Apr Pc� <br />Fee <br />DEPT. APPROVALS <br />Engineers <br />Water <br />Street ..4 <br />Traffic <br />Planning_'%!' <br />PROVILE i Or) <br />PROPER DRAINkiL <br />�Rr <br />S_21-7f <br />