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r . _ <br />� <br />� <br />� <br /> � su�zti�rr•i:viur�:�vcr Trin•r i,�urnn�eN•� � �'� 9� <br /> COA�YLILS 1'l17'I1 Tlll: 57'ANUARllS Ol Q/,//y <br /> TI1L•' UNllL1t1V1:1TL12S' L!�13012ATORY. � 7 <br /> INSPl;G'fIOi: OZ' SIGN RLQUIR�D <br /> IILFOR� L1:l,CTION. <br /> CALL 259-�7�15 FOlt INSPECTION. �jE' � ' /�„ ' <br /> Date � <br /> � l>ih%G <br /> ��%L7'✓ /i�/l��/�Ilr C=GEG7/�il� .cln,e <br /> APPLICATION FOR 3 ' �i /a�)L �/ <br /> . C�'iu�a�, �3ti'/'7�s7 l�',�,-'��/��`��- 3 �= ' <br /> � <br /> The undcrsigned owncr hereby agrees to hold and save harmless the City � i <br /> 5 -� of Everett from any and all claims for damages that may arise because of <br /> I <br /> 'i �'.� � ' installation of the improvement hcreto applicd for, and further agrees to j <br /> remo•�c sarrre vpon notice from the City and to replaee all public property ; <br /> �•�� '' f/z' <br /> - dama�ed thcreby. � 4 ' <br /> �i�" VALUE: �' � <br /> I .J'1y'. �� <br /> �;'..t; CIRCUITS: � <br /> -_ t <br /> : , <br /> . �6 u <br /> y 6. <br /> ) , , <br /> 10 � � �� <br /> _—� � <br /> ��r'� � _ � (- <br /> ., —►t�Iii�N�r�-it 2' <br /> — � <br /> �AN <br /> , � 4� t� <br /> I�, :-�(.�N�16�=i�c' " <br /> � . �Q� �S'.'�— � <br /> --'iZ�I> �,.qw--�s� ,,.i. � <br /> 'd.��.�. � <br /> 1 ���� �y��(� � <br /> IIV `� .�r-u�+�-� <br /> }__ �G ___–� �'�^a°,it �, <br /> L�;:V. -- � .��Y.r�J�17°�D��"-���' J �r„"' ,�r'� <br /> . ( {a�— " � - ti c�' r'' <br /> \ _-3-��--_f'r`f4��_�_v�iJf �-�- -- � �^" <br /> � „ CCs2:� Owner <br /> Signed EVE��T.SlC�N-GOMPRN �' <br /> 271C-1£:hSL PH. 2G9•4413 Contractor <br /> . • �—C-VcP�LFT,-WW{�'�201 {� <br /> . i <br /> �1�*/� �c'r.�— p�w, ' . I <br /> � ✓✓•t/��r�� �- C.. -�v' � <br /> n <br />, ���`'�` �"�-�'�G � `� �C r�" t <br /> i <br /> ��- r/�i, � <br />