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90 ra PL <br />MENT <br />S.E. <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 repla_e all <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />f' 25 <br />I" LIP <br />1 30 •1 <br />Inspector's Signature (17 <br />D e <br />Call Engincenng Uclt <br />24 Hours belore <br />ronstruclionid-started. <br />(Ilk <br />rr;Or�ti Uf�i11NAUL <br />-NCW <br />DR' IA', <br />NO SCALP - <br />Variance Required <br />Yes <br />No <br />Signature of Applicant <br />Add,;;s r <br />Telephone Number <br />Dale <br />s 1 z . 55a�� <br />Dturti / I''/ Fee <br />DEPT. APPROVALS <br />Engineers "+.% J-•r,.. 1�' ,h' >3 <br />Water t: . _C 01 <br />Street_ <br />Communicatio <br />Traffic <br />Plan ni a —7Z <br />