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� G69 � <br /> � — � - 4 �. <br /> Date � '� G � <br /> APi LICATION £or �'.ii,�J�..i �' / r,c��li T Fr,C <br /> :si.T,<,� �- ="'�✓� •%�2'�uc:LF <br /> .A��✓ cD<�-� 'iEn� �F.!' .s.�t�s��-;,- c��iT�n <br /> F%!��F <br /> The undersigned owner hereby agrees to hold and saae harmle"ss tfie�City <br /> of Everett from any and all claims £or damages that maq ar;se because"of' <br /> installatioa of the ir�proyenent hereto appliod for, and flxrthei agrees�io <br /> ramove seme upon noCice fl�om the City and to replace all pu�c p��� <br /> damaged theretry. <br /> c,J� �' i�^= C-.'.">S /:s' .`�2t ��,t-C�90C"'L�F� � <br /> � �FP / .,��_zc����Ti�%�./ : � nT' .� o , /_SGrc�� <br /> �� y. �/–.A T f' f� � ✓E_,E:F' TT - i�r c 1 i✓ <br /> •���J'<':ir'�l::�' • •-�-`-. ��!^ � ✓ /J L C/ C-C : / 'T" N <br /> �f. / � <br /> C .� �.%7!/�� /'� /'����C� <br /> < L. /-J..,/ i.�/ .7 �T i O.J. C�j /v L-.- C _. iG C ✓ i <br /> --..._------ --- � , <br /> � i � i��Tiic/ E � �. %_� S � .t! ST� .GLE3 <br /> f��� v�ric� .i/�Sr.�/ � �Sc .�-L L=/�c_ ;�ic. <br /> �'S �-rMi3- 'T� �.> C's.+S � ����D-d <br /> ap ' Sdf64ck �ro .,-. Cr�..,r � �- j ° '� . � <br /> az ' �a 6� N ., M o � s,ga <br /> � � _ S�G,�de,ar , ,� s ,�.� ��/� <br /> Signed ��c�n/SF."i nrl-r'i��C t� A t� �/ L�n <br /> (3 <� —� __ Owner <br /> �- _r'� 'CC l-- �P <br /> —_5"A�>r <br /> Contractor <br /> ,��� <br /> Ci��s�'.� /%f�C�[/lCy�t_ � <br /> i <br /> — -- ---� <br />