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i <br />PUD �! <br />VAULT <br />i <br />S IDGWA LK <br />STREET — -- - - ---- — ---- <br />4.1C"T <br />IS <br />— ucra 4 Gu—rea<: <br />(D� t <br />The undersigned owner hereby agrees to hold ant 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 thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />r Z3 <br />+I" LIP <br />/,2—,524- 73 <br />fnspecfor's Signature <br />:5/ TF Q4F,CKCD /D-3-73 <br />Dal. <br />Cell Engineering, Dept ,:51-843 <br />24 Hours before <br />construction ";titled. <br />' NOTE <br />'"IITH WATER <br />W -FIKJ4 u,fg <br />sfda,a.114- <br />Variance Required <br />Yes <br />No <br />e L Mr r... <br />Signature of Applicant <br />Address <br />Telephone Number <br />Date r"ry /L> 14 -1-7-` <br />C) 6y &'Ofc. AP —73 Ew <br />Engineers <br />Water_ <br />Street __4 <br />� I'tiVi�Lk DFcI�Iid:', . <br />O� <br />_z,3 <br />♦Ka .4 <br />E <br />