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\4 <br />V �_< ` l owiAe � <br />CuIta �t <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 rtsv and to replace all <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />t.�NO SCALE <br />I Z2� <br />I" LIP <br />30'1014 30" <br />Inspector's Signalure <br />?7� Cl-l�=cK�D /D-Z6-73 <br />Date <br />Cali Engineering Dept, 259 ESp <br />24 Hours before <br />construction i.& started. <br /><rl TTGk <br />NOTE <br />CHECK WITH WATER <br />DEPT. FOR WATEP LINE <br />! OCATIONS BEFORE EXCAVATION <br />1 I; <br />Rvr `n <br />Variance Required <br />Yes <br />No <br />Sil%a ure of Applicant <br />9 2ry moo. ►3i o��fr�A�1 <br />Address <br />Telephone Number <br />.i'- <br />Dole <br />�— Fn <br />�o-z y-73 <br />Street 1/ • I A <br />Planning <br />PROVIDE i ,!' <br />PROPER DRAINAGE <br />