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Jate / / � �_ <br />APf'LICATICId for / / <br />t2^^��q�-O-r� G� (/ <br />�!' <br />The mdersigned cw�ier hereby agreos tu hold and save harnless the City <br />of E�berett Sro:n a7y and all claims for damages thzt may arise because of in� <br />stailation oY the improvement herrto a�plied fcr, and further agrees to <br />remove sare upon notica fron the City and to repl4ce all p4blic proper2y dam^ <br />aged thereby� <br />%�i�c,y A e fi fl,�QJ �"t'�'� .�"-��Lit-1LL �t,� ./7.v'.,A-.c.J i'.,�-�/ <br />-,��.�`. O <br />� <br />Signed <br />`J <br />� � � _� <br />__ b' " .L _ <br />�e[� F u �^ „t 4 I <br />lCahfvcKc�Y <br />F.•,vcl Clic/¢e:i <br />g "-h^'/'� <br />t <br />�/I----- — � <br />i.option .4pprove �"r "'""' <br />Inspecied. ~�~• <br />�. ,�.... <br />Ev � s i i,c��. .] <br />o � <br />� .�-�` <br />�, � � <br />��b'l/ <br />N0� �' • • .' . � • �ay�c <br />�'`t1 Glect <br />��,. <br />�• <br />_.r:r•'"�• ,�.�,:� t.ra.; t vr <br />L / �� <br />`�� '` �I� C\1\ \� ^ � / <br />� I� I� v % �Q./O <br />� i V o.-�,��.�. <br />N�dy�, � , , <br />o � lilutin� '"f,. w� i- _ ��;�r.-1,-.��< �;�. �..<_: :.�.,... <br />oX ..��-cLC�,� ��F,� �A;e2 ur��� � you�i� <br />, , j . _ :�--., , •,.� .- iV �� <br />'�r <br />ch' j�� 1� 4• ff,'< �/� ../�.:.�� <br />� <br />