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� s��� <br />� �3 <br />Date �� L_ / 7,' /y�� <br />APPLiCATION for _ /t,s.' c• � <br />�'.,�.rorG; F�t! 4�y�,'f, Sirii ;o,�..;ri�!+, .:iFra Sii:-r ot FFt.:/ir <br />i /Q'/r <br />Tho underDigned cwner hereby agrees to hold ar.d save harm]esa ifie�City <br />of Everett from an,y and all claima for damagea that ma,y ariso becanse"of" <br />inotallation of the iruprovenent hereto applied for, and f5irther agrees-io <br />remove same upou notice from the City and to replace all public property <br />damaged theretry. <br />; ; �. . <br />— � .�.�,.� <br />�i:i <br />�IC�/� � i <br />// � <br />`'- /if./ri• /�!�! � <br />'�rdov vr,s-wE <br />Signed Hc�i�+�ir_F Fc_[ l-._ 1� hi-4 Owner <br />'' f . �� . <br />f� �� contractor <br />��40 YI"L�' G��i r�.tiy ,, �C�/�,i*�—, <br />` /� (-'� jr`��5�`,�,�� y.�'"`.`�% <br />/��� n <br />OK. ��, V�. Co-C�;H,�, <br />/ ^w <br />s� � <br />