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, <br />. <br />.._��..__..,,4.,�.�a..�,��_-, -.,.,,._..._.� ,:..-.-_ _.__..._ . <br />Date <br />� . . y �i� C� <br />APPUICkTICid for �'' � � _ . � � <br />The midersigned owner hereby agrees tc hold and save haz�m].ess the City <br />of Everett Srom ar.y and all claims for damages that may arise because o£ in� <br />3ta3,latien ci' ch�� improeement hereto applied Sor� and furthar agrees Lo <br />remone same upcn notice from the City and to re�lace all p•ablic property dam- <br />ag�d th�r�by, <br />� <br />� '`L- C ! .L !%'•; � ]'• 1 � <br />�L 7� IN GOIUGh�6 I C <br />c� ' <br />''.�V � Poo� ;i <br />�_ --_ � <br />V�'1LG-iLE��'N � <br />r1�1 C� "r � L � <br />r� <br />; y' s <br />3 d 1' s'� i•� <br />��� : �� <br />i ry' <br />I �'' . <br />�: <br />, . <br />� <br />Q;. <br />�o . ��� I aV <br />- �`�.�,,�� � t� L A n1 T 2� -- �/ n, <br />...,; .,_.}T_— .. <br />� T <br />-� -�.�� � ���%; ,.�,' �- .r� -r � k' �- f � E N <br />. . . � p G'•rv.P. '� <br />J V <br />Signe.d � G S � , r,��A ?.�ti''�,_l.—:.__��mer <br />% <br />� _�� . :' : . <br />� <br />OX. ,Q��s�y /�i�evidf.C.� �:cner•efe'•��.`c.k /.5 r�f �r4�:1') <br />d(�feE.i c./cc: r c• f�•v414✓ ����� ,/ <br />o �; . 2�a.,..� J _ C?�k� <br />Contractor <br />.iv�.4.�11{.��� . . ..�Y..VI�[�^wlw���^'I <br />}n+�Q�✓t,�S�" �` �-� <br />