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Dato �/��j��n <br /> AI�PLICATIOIJ for V�� .�(y ,��,,��� ti <br /> .�..,��.q <br /> S .3� y .�;,;_ �f <br /> The undersigned owner hereby a�recs to hold nnd save hr,,;-mless `� e Cit,y � <br /> of Everett from any and all claims for damage� that mav arise because of` <br /> installation o£ the improvement hereto applied for, and flirther agrees �o <br /> remove same upon notice £rom tho Cit,y and to rep)nce a7l 7niblic property <br /> damaged theretr,�, ��/ <br /> � � '` 4d ' <br /> � �,� �-' '�� �/ `�`� ---- <br /> � <br /> � . <br /> . <br /> ; / _ � <br /> � <br /> � �� � ��� <br /> = �� <br /> � <br /> � <br /> .� <br /> � <br /> �►,�-�. �.��� Q� �,�,.� j� �� ��E w-a--�.-�, <br /> � <br /> �,� ��-�✓ l%���-� i%.i�c'C� . <br /> Si�;ned .�l'L�(h,�_Q.. � ? �;,� ' <br /> ��; <br /> • �- � Ot•mer � <br /> ,� % � /� <br /> � •/� / ,,'/ ..e , <br /> �"= Contractor <br /> � `� p!'�� �o ,. <br /> �� a y ,���/ �9� ��� . 7�71 <br /> � f �^�,/�. ; , 1,�� . ���w� �ic �7�� <br /> � ��d si>> �� <br />