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Date <br /> APPLICATION for � '� � / [����L - - . ��� <br /> ��-¢.t�x.�'�a�.�-+_ � �t'�<-�-•��...�.�`�`�'„' <br /> The undersigned owner heFeby ngrees to hold and save harmless the City of <br /> �verett from any and all claims for damages that may arise because of installation <br /> of the imp^ovement hereto applied for� and further agrees to remove same upon <br /> notice lrom the City and to replace all public proporty damaged thereby. <br /> , <br /> t� . �� , , .t� ;� C�«.' � � ��lc <br /> J <br /> ;, �. .�r^�. i.rl ' ' ' I� I �,�_ <br /> ,, � s� Xd <br /> � .� <br /> N�,! � . /' � <br /> L� ✓G/f�C�L��L-� . .��-.'l�, ��...t. L0.l"� . <br /> II i .�4. e � ,. il ! <br /> A � __ _ , <br /> ,Ii � <br /> I - I� <br /> 1 <br /> I <br /> � ��' I <br /> � % <br /> NJ l. l)(�'��J6� <br /> !- _ . ., <br /> c, " <br /> `r' ,I Dt, � ��.' � . <br /> r i � <br /> �.. I � ' <br /> `y��.�� 1� /� �� � `.IT.,' . <br /> �� • <br /> h ) / <br /> ��If: 1,�� � .= , � ..1 ' - '/�LI(�' L / /i .�'� i�i �� � . <br /> /� �� / /�- <br /> / � � / 04mer <br /> � Si gned �7 <br /> � <br /> ` � �/�,��� Contractor <br /> � <br /> �' K' "'�'�� 'A��, .� _ � <br /> �.� ;� ��( ' j; . <br /> :4-n � ���c�,�.-._-� <br /> ; -� G , <br /> ;" � ,' � � r , " ,t�rat�on Approved,�L..a.�s����� <br /> inspectetl ..�.l�:r.��'��.t}:.................. <br />