a
<br /> � `'� � ` �� .
<br /> \♦
<br /> �� ��/
<br /> - y/J/o
<br /> ,I Date �..�,a I , �` ' ��1 I�
<br /> � � �
<br /> � � 1 /�
<br /> APPLICaTIUN FUk �"� . , ' iV�i'1'-' �-;- ; ��� �� ��� :>.? �����.��> ' �
<br /> f- �
<br /> � � ��-� �y � ::o ;a �, 1.' ,'� `I
<br /> The undersigned owner hereby a�rees to hold and save harmless the City
<br /> of Everet: from any and all claims Por damap�es th={ may arise because of
<br /> installation of the improvement hereto appl�ed for� and further agrees to
<br /> -ertave same upon notice from the City and {o repl�ce all ublic�property
<br /> darrv3ged therebY• 1 'i+ ,"? I t ,l ti�o� ,`�. r , , .�
<br /> , , , u,a - � �.�
<br /> - v _
<br /> s�� i��_�� . '� �_Ui,� — �j ,� ., � � ,�� ,,,; t
<br /> ., - N� Q�. ',-�I�`�uo
<br /> a
<br /> �,_� J „� - -- - ---- -_ . .-- --
<br /> � `'� S �� No ov��rNf�u c,-
<br /> �. ,�' ;�
<br /> ; , •�
<br /> '"� _ ..�
<br /> �.. , :-,.,x, �
<br /> / ' �' � .
<br /> --�, . � �c�a�.v� i — 14 —__---���
<br /> ���" � -_
<br /> � . � . , ' ___ t a
<br /> � � a � , - � a �---
<br /> 10� '--- � �. �,� � y I
<br /> � � I I �� � ;`
<br /> � F=- I _ —� _-�— ---
<br /> i --- --- —
<br />' � � l �� o � 1i�1� ,
<br />� _� � � �r.r�!�p v,,�a `i
<br />� ;k i ,
<br /> ,: � ,
<br />; :
<br />; �
<br />, ;i
<br />'; :;;::
<br />�
<br /> - ,
<br /> '�r j/ ;
<br />' ' -� Signed �_ ,'c < rl�l-��`='. • Uwner
<br /> � �
<br /> ''77_, . �
<br /> _ �_� .._. \� � ,'� .�� �� �� �-�_.. -_, Contractor
<br /> - , � ... !�
<br /> , ���. � _
<br />
|