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�7 �'9p <br />�_ q_��' <br />o� <br />g°�' � <br />�av <br />� <br />APPLICATION far �o l O l ,� 1� E,�G 1�� �/�/ C�..+ �� <br />kw�k- Lic c.k�R whs�} 5l�A/ <br />The underaigned ocmer hereby agrees to hold ead save harmle'se ifie'Citg <br />of Everett f4�om anq and all claims for damages that may ariae becaixse-of" <br />inatallation of the 3mproveaent hereio applied for, and flartheT agrees-io <br />remove eame upoa notice f4rom the City End to replace all puhlic property <br />demaged thereby. <br />/6 � � <br />�� <br />8 C A- rZ w h� �� <br />�� <br />` � Pip6$ � <br />yRoP. [�Nr I <br />Signed <br />I'I <br />I' I N <br />� y -G <br />2' <br />5"�� <br />'loov G./41:T S <br />�' <br />4 <br />l3����T�N TYP� <br />ThiHrFA sr�N b/P <br />ALL nFl pR��.<tE pFop <br />✓/�4 L U � �80b �.= <br />��� <br />ok �d,..� �/. C,�..� <br />� , ,�. � 71 � �aG�ulc�...--� <br />L- rC .-c �, <� (.;:'f i <br />Owner <br />Contractor <br />P.t. <br />�� <br />7 <br />I a' <br />1 ; <br />' n i <br />� �-SIGN � <br />� l <br />` _� <br />, � pt��' p� e. �I <br />