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. ,,� <br /> l � ` � ' <br /> ,x' % i_ <br /> ���".�� <br /> �/ <br /> Date / `� �� <br /> APPLICATIUN F�h / �'�t�,S �«7ol'Nv%i ✓c <br /> 3(0 0 _7 ,3No�i o w�i� — ,�=v�:,��-rr— <br /> The undersigned owner hereby agrees to hold and seve h�rmless {he City <br /> of Everett from any and all clafms for damap�es th={ rrv3y arise because of <br /> installation of the improvement hereto applied for� and further agrees to <br /> rertave same upon notice from the Cjty and to replace all public property <br /> darrNqed thereby. <br /> IYc/n�a�A �x1D'_��� y�"i <br /> ��"' ,E/��r.- �jiJn wi�' r� X3 d"�., (c-i„r...,� <br /> � M , <br /> �•'j _rCL,,..4+.T <br /> , � . <br /> � h/,+y. _ {�aac:,...J � <br /> �'�i <br /> � � � <br /> / <br /> FX�an�'�' I . <br /> i <br /> P`'.—� /°�` <br /> 4� <br /> � S�nawn��t <br /> Signed ���r- LZ�c,C��-+-��4-�'� � Uwner <br /> �� `�/� � � Contractor <br /> �� ��� � ' <br /> ,,,,�. <br /> ��� <br /> ����;�. � � . � <br />