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a <br />APPlJCa71UN FUR <br />c/-�� p �, <br />. ,, _ �Oo_ � — <br />T� ���/� /� �'`v -- /�' <br />�Q ...--.�D �fp � � � � // f- � <br />Date �' <br />O ('J S f= O � <br />� 22 � <br />�� ty��, �l„= �_. � � �.1 i <br />The undersi�ned owner hereby agrer� to hold and save hermless the City <br />of Everett from any and all cla(ms Por damap�es th�t may arise because of <br />inst�llation of {he improvement hereto appl�ed for� and further a�rees to <br />remove same upon noiice from the City and to repiace all public property <br />dartr3ged thereby. <br />�9z E� T /� nii� /Yi /�- i�� I`i} i�./ b�r i= <br />O�/-- j l F c r� ic s i��ci <br />�— <br />/ U �F_ ���Icr= ��r�si �,c�� � <br />�� S �� F2 ��� i� ,c� <br />�� L � o .c � �� I l/ /-� T � /�/� �' /��� % `/ <br />$ipned <br />��C��'�'/��(�� <br />///w/� y <br />- -- r -- - - -___ <br />�� �� � <br />G�2o <br />� � soc,T i� <br />���G <br />_ Uwner <br />�j�� � /� 'S/('� �� ��� _Contractor <br />`3 �/ O S� O �ci � li'�i� / ii/ D <br />S��J � �G jG� ��` <br />� � �f� ' , <br />��, <br />/=� �� l 7 / �/ > ' _ ,�?2-� ' z�. z��-` <br />o K 5��,�:.,,..�, V. �0�.,..,,. � <br />, <br />\ <br />