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(N\ <br />The undersigned owner hereby agrees to hold and snve 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 thereby. <br />DRIVEWAY ',ECTION <br />NO SCALE <br />�Z2 <br />I" LIP <br />30' <br />JZ- 2(-- 73 L%ug�. <br />Inspector's Signature <br />'5' i 77!: CNECKIEa 10 -z62-73 <br />Dale <br />Call Engineering Depl. 251013 <br />24 Hours before <br />construction i, started. <br />i <br />` NOTE <br />CHECK WITH WATER <br />DEPT. FOR WATER LINE <br />LOCATIONS BEFORE EXCAVATION <br />Variance Required <br />Yes <br />No <br />Signature of Applicant <br />Q2C6 Sc).&.4AyW <br />Address <br />Telephone Number <br />Date fq4 /O //, SO /�' I-73 <br />$ <br />- Q <br />Fi W <br />vPK-7� <br />Engineers <br />Water <br />Street <br />Planning <br />PROVIDE FC;k <br />PROPER ORAiNA"li <br />.Ke.f <br />