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i L <br />� . <br /> , � <br /> . .- <br /> Date :-� ' r '' , ; �� <br /> APPLICATION for �iJ ��(�J �1 (� fU ^ � (� � j,) G�� L �3 � <br /> The undersigned owner hereby agrees to hold and save harmless the City of <br /> �erett from any and all claims for damages that may arise because of installation <br /> oS the i;nprovement hereto applied for� and flu�ther agrees to remove same upon <br /> notice from the City and to replace all nublic property damaged thereby. <br /> �� <br /> �, �_`�.�_� T�r L _G i xJ <br /> / � sln� f f'���� cr i� <br /> �" Gu � p <br /> E--- i�� I 4 � <br /> � � <br /> �'�� ' l� �J' `S' ,ta t-'�'. \ , \. <br /> � !�� UGHr�x1G e� ELEf.Tt�•.tN� <br /> -- — —�-��� <br /> �tC,N yA� � -r�,�' <br /> .� 12' LI S1t�E CrvY.`� <br /> � +�'p�'�C` <br /> �' 'e� y''. �• '9�--'— 1 � � �. -- � 77 � J� t)�! ! r .. ' . 1 <br /> Vy , J <br /> •�'`.� � 6�`T 1 D7 L w A L�� — _ _ --- ?� r��, '— <br /> ' � <br /> • i�• �Fl��l-�'1.t `_. l.', ' . sJ I L F 1,. <br /> �,tir. <br /> Signed _�= i�i�tc.c�l.�C/� W �r` Qi{ <br /> O�mer <br /> ��:c 1T ±-� _ )V � b �l) �"f,�,'' • � Contractor <br /> �,1<. �.1l.lti\�C, -.. , <br /> t� <br /> o,K.�� � ,C� { p ! <br /> ' � �Z?F�GC 6:GUATE.e U T.0 7�% O�U L \ ,�/�����i/ � <br /> K Sl_ut `� `�/ � �,�tGNI'tn <br /> "�-1 V C�:� .�cauun Approvea.��.._ . _._��-- i <br /> Cl inspected.�Jr/...�,,,«�rl;`�.- <br /> .� ' <br /> ., .-_._�.,.::_,.._. __�,___�. <br /> � -}--- <br /> � <br /> ; <br /> I <br />