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.Ccto _ Sv'�>�„ .-...,rq <br />�O0 b <br />�3 -" <br />Da�te .�1,a�,,,� ,; s • _ <br />APPLICATION for .yF[i Bi! �� b�c-,r/.�c �i< <r,�.e �[c.-. <br />The underaigned owner hereby agrees to hold and save ha�a"sa �ifie"Citg <br />of Everett from any and all claims for damages that may arise because"of�' <br />installation of the improvenent hereto applied for� and fltrth�T agiees-�o <br />remove seme upon notice from the City and to replace all public pmpertp <br />damaged thereby. <br />Signed <br />�I.��UcQGQEEti' !✓�-%� <br />_� .C:i9.Jif/Jd ��Jw/i) SycfCL <br />'c. EG S- s/ / G <br />, <br />� � <br />,� <br />- �}- -'o - - {$ Ex/STi.✓G S/G.�/ To /3 c <br />�� �r I Hni cD u ad.-f/ �G' f <br />�— i <br />.n• <br />fG:OU�/QN� <br />.c�.✓ [oe,Riio.t/ <br />o.- s.c�/ <br />r�i/Gfi.- er 5�6d <br />il � <br />6vc .�dTi <br />�' v2%i � <br />5 /�/J <br />�?/Ec[ s�•�r, G � <br />$'r.Rl7 C e/ <br />O4mer <br />� _ <br />/1�vc[� Yi� d e �,a�� i .y' .✓-<� ' i �ontractor <br />\ <br />