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^ _ <br /> Date�3�aa <br /> APPLICaTIUN FUk Par�mit t� �nstnl7 a1 ¢n at pol7 RT'1Af�4lAij <br /> Olaen Pdotora g73 v <br /> The undersigned owner hereby aqrees to hold and save h�rmless the City �� ;/�� <br /> of [verett from any and all claims for dama�es that may arise because of <br /> instella{ion of the improvement hereto applted for� and further a�rees to <br /> remove same upon notice from the City and to replace all public property <br /> darrN�ed thereby. <br /> - I--- 7 <br /> ��- c..,� - / <br /> � <br /> �����.e. _ �� <br /> � � - <br /> ,_ <br /> #;:_ <br /> i <br /> � ----- <br /> I � <br /> i I�AS� T o �E � � <br /> :� � � oN I� R � VAtE I <br /> FR ��/� � R i y � ., <br /> /D �--i <br /> �, i <br /> E�'`� i <br /> ---- ----��"I� �y� ��=-� � '� . ,� <br /> . , � ,, .���-; - �a�.,,. r <br /> , , ._ <br /> � �l iD.� <br /> Sipned ���,t'-cti� � - ) Jwner <br /> ����'�"�'�'� � �%�'��ontractor <br /> �B" ELEC7RIC ,�, 1 � �� � <br /> 4117 RUCKER � -�i�'G�.'�'�lt�'��,' �c? z �� ���/s��,�f zt <br /> EVERE7?r �NA3H. 9g2p( pk � <br /> AL� v `w, <br /> ,_ , c <br /> ����� �y <br />