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� - <br />� J � �Z <br />f �'� � 1�3c�=- <br />3�%' <br />Date '7-' ZZ — C.>�'/ <br />APP'�ICATIUN FUh L">'L �' ` - .-, - F/�i��G 1 <br />�.� O i�� �/�z.� ref y', %%4->� " T� <br />The undersign d owner h eby aqYees to hold and save hermless the Ci{y <br />of Everett from any and all clalm� for damap�es that may arise because of <br />inst�llation of the improvement hereto applted for� and further agrees to <br />rcm�ve ,ame ipon iotice from the Caty and te replace all public property <br />u.�ma�ed thereby, <br />"� �� �> �� �, % � /� 4 � F '� Yy� c3 5 � YI F. 4 .• E' ,S � �"u <br />�� �� � C- !� !� �j � k I G YYl �: t. � Co � p <br />/ <br />�� l -� �,Q�� � �' /� <br />� f �cc ci' C�r%J <br />Signed <br />C Lr�� IJ �u�; �C <br />' ����.. <br />Uwne,� � �i; j <br />_�-i e►�TH l�In�.��-� I,l7C �7` Il'I L� 2�`Z 2 Contractor <br />�/// �.jn 3� i o S�te iv ��� �J �U. lC RT 1 L_"\ J Lt� H � N <br />��Y /,W� , <br />����,�,,,,,�� <br />uk � __ _��(.�'�" <br />ti <br />