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Date�� 6 / G / <br /> � <br /> i <br /> APPLICATIOtI for �j e c �I o k � � --� �v N �L� d� �� n�- <br /> F�� r 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 installation <br /> of t.he improvement hereto applied for� and flu�ther agrees to remove same upon <br /> notice from the City and to re.place all public property dama�ed thereby. <br /> �a,..� � <br /> _.., -- <br /> __ \ <br /> � <br /> �� <br /> �y ' �'� <br /> G �y � <br /> — -- ' <br /> �3� � � d ' k,� ' I� <br /> io^ � <br /> � <br /> ��ie <br /> � <br /> . <br /> K � <br /> � <br /> � <br /> I <br /> � <br /> „ � •�i� „ � <br /> < ' ,�" b—> _'_ ' � <br /> tf � <br /> �.x �r x � 3 ' s , a�,��.i � <br /> ��� � E -r ,,�/ <br /> ..__ : .,� � �� � �' e�n e�. ��c:e �.:_//��� e c� S'� c fc l P 5 <br /> Signed <br /> "✓ %. ?�� / � Owner <br /> / � � // . <br /> f� � � ,F�.! ��l�1 � <br /> �f/ ' � � _ „ ��,,, � Cantractor <br /> Jf6Qs6c <br /> � . ic -�. 11 ��r�,��.�Q._..�, �' /s .4�,J"' ,d�'�b ,�A� 1 U 1961 <br /> .J ' /�/ l����G.f�✓ <br />, Location Approved�/�l:.���"�...._... y; ` � • .... . .. ... ,t• . <br /> / .... . ............ .... <br /> Inspected.W/L...�J`"���:�!.......�... . �,� �,e,, <br /> � 1 l � _� , . <br /> �l �� � ' �1�' W`� � � '��� J <br /> "G �l� Ivt li +l .�tk:lYS ) .� <br />