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� <br /> , r __ , <br /> _- - -__- __..__ _ _ <br /> Date _1� ;' � ,� �b� � <br /> _� <br /> kPFLICATI0I1 for „� '7 / �p is� r.i— , � • �" ��['� �.cf/"��".= ' `�i� <br /> ` �,,, �.1"—� . r i,, 1 • � <br /> '" '���Z-��-1: :,� , .. ;l . .. � ,:r �- r-: -r.r- ..z- , �, :�:..c , ..� <br /> The undersigned owner hereby agrees to hold and save harmless t}�e City of � <br /> Everett from any and all claims for damages that may arise because of installation <br /> o£ the i:nprovement hereto applied for� and flu�ther agrees to remove same upon � <br /> notice from the City and to replace all public property damaged thereby, <br /> . .. ��6C-G4__f�lic'',;(�l''�' <br /> �- 1 <br /> � � <br /> � <br /> � �� c��ti�r�'f � <br /> y� .� <br /> __ - �� P -' � <br /> }� - -___ - --.- _ � -� <br /> 2 �= n ��---_ <br /> ,� ' y/��' •� ) �-drI'itf.'J <br /> `J�„�4 �iZC.0 � Ow�J <br /> i✓' '� <br /> I <br /> 3 ��'�°� I <br /> y`� v1o<''� ' <br /> ��P . .. �• ' � .. � r��x + <br /> �,EF,�,�V�9 • . -•. � <br /> ••.,Ard�m^-��P��•• L �.,_`,> <br /> r <br /> � <br /> Signed Owner <br /> 4'L � <br /> _/J. <br /> �,' Contractor <br /> � •��� �.�� •V,J��_. j-E:.�,_./ �5�!'?�c�';.�,� �_ - ---J <br /> 0�. � u, " .� <br /> d.k. ���� / � 1 °'.-� <br /> "���--"-"'v �f e �'E;�J,yr,�e e�'r�4rY �e� �ocation Approue ,-- <br /> (/ <br /> Inspecte -- <br />