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i <br /> _. . � � �, �0=' <br /> �''�'w - _ �r <br /> � ; D <br /> ``+' <br /> � c�' / " ' <br /> ' <br /> Date " - � �- �� <br /> AP?L I C�T I UN FOh :� � � - f`� � 'Z ���i/'�''�� �n* <br /> a�lvt Ii1/ l <br /> / ��/ � <br /> The undersigned owner hereby agrees to hold and save harmless the City 3/ /� <br /> of Everett from any and all claims for damap�es that may arise because oP I�� � <br /> installa{ion of the improvement hereto applted for� and further agrees to 1 <br /> remove same upon notice from the Glty and to replace all public property <br /> darrv3 ed t�eby. S��.r' � .;,rN <br /> � '' �k 1 k(EcTF+� <br /> � � y�- �,�,IS��� �i�ook <br /> � N <br /> � '�} � I � O $/c`'✓ <br /> 1 � �) � K t: r <br /> " 3�1� � 2 �rk��� pt . <br /> r� ` JN <br /> t <br /> �-O� � <br /> +� � <br /> / b,' <br /> r�w � � —r � \ <br /> ���;Rrur � �� b�, .��� <br /> 5/6I✓ � .� <br /> r <br /> �� �fb� G^ o- w`Fo� �y�`'' „ <br /> Y ,����Nf JN � � S�Gi✓ <br /> A �-41 �' ,�� <br /> � � <br /> � <br /> �- �3u,�o���� g . `a� <br /> � , G. <br /> �J <br /> 20' --� !� <br /> 1' <br /> I � L�NcR�f� !I �- .J.I . <br /> 4 <br /> Signed � ✓� l/V/v� 1� — �lGa1+-f2.. ,� l�(� \Uwner , <br /> �/ /�'��L�ic /C:�[-��/C/ .S/�iG= �« . Contractor <br /> -;� , , , _ o��l <br /> ., ; :� - � . <br /> - . . G/G'��� <br />