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O � <br /> ^ �� �j O � n _ <br /> { IJCE1^ ' <br /> ..: S�S�?-65Z ���� <br /> C � � ` r I !r1 thi� '�2011�_N. : ., )��8 �s d� <br /> JTHh O'A ..Q_ � 1 • �. ..:i�J:�I I'rJ;S _'0 ;;; :1J'JSNI <br /> ,3 /C7S �2n�4�4�A Y 'i,:i�.LV2;09J� .�:_.i�P.",�30Uf1 3f�1 <br /> �u���, w� I �O 542fNGn:y1� �Hl Flllh1 S�I�dI'.ip� <br /> � • 1N3:Y,;;I1T� iVHl 3,^,�J=41,13 11;�Ef1S Date � �L` -- 7� � <br /> > � !_, � 3 �i <br /> APPLICATIUN FUR _S/�.�✓1e�e'N�� � /,/�CJ�/ <br /> / <br /> The undersigned owner nereby agtees to hold and save h�rmless the City � <br /> of Everett from any ahd all claims for damap�es th�t may arise because of <br /> inst311,ation of the improvement hereto applted for� and further aprees to <br /> remove same yupon �otice from the City and to replace all public pr�perty^� y: <br /> darrv3ped thereby. � �� <br /> L. <br /> � '- L. <br /> V <br /> � I - <br /> � ' I I �3��3�� <br /> a it' f <br /> � <br /> ,� �,� ,�y— – ..,,b .�'� <br /> �v�h, �—� �. � <br /> � [NCC THAT EQUIPA4ENT <br /> f'�QoN�wNa' ��on���i�:s wirH rw� srnn�onaos o� <br /> YH� U�'VOe"RV✓RITERS' LA[�OR/�TORY. <br /> INSPEEtII�N Of S1Gr� rrEpUlFtEb <br /> ticFoa6 �i2ECri7N, <br /> Cn�L �5n�.4a5 ��tt INSFXGTl6N, <br /> / ^ ' l / <br /> rf='lfl v1•G �XRC�/,=v� 'i;y%yu ��J� L�Ysirr� ��,Yf.) q/�Cv S 'I7S i`�i3/�ti�n<<� <br /> �n,�e xts�i'�� col�a+� � � f��;i� q{/G �r9'G��,:,�,z.,d.,- �� �prf.�c.� f <br /> �l � / / pJ / �j � /� <br /> Jr�'lJ�� Ot1Gi1�[/ fJ '�,G �/I��L%:a4� C�Gfi' /.7/ICijdL`iL�L,s �T-�G �n �LJ�� 'J-.fi,�� <br /> �t/FZ �, , CITY OF EV[R[TT <br /> APPROVED FOR BUILDI�p (�MIT <br /> /�7 ' Date�Z/��__QY <br /> Signed , . � - l!7 ,.t� �/�f�:��u wner <br /> / � ' <br /> C � ' I' - /��'�k � -�i cc.. + Con4ractor <br /> -� , L- �`131�F��� <br /> �US` llla � Ti �^i � E ��Yo��l ��'�t ' � � <br /> _.-�—z-�„`. �' /l�t �'S '�Y� c%5�.5� Cc' -�- <br /> ��� � '.< —.. 5e 6 � .l'��L7 , <br /> � , rT^'�'�'I ��[ tG�� [r.�_a,_� <br /> � �� („ /I- 1���'�� C', <br /> �� <br />