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i�PPLICA'PION £or. F -� � � <br />=� ��'{ % <br />/�-����� � <br />Date �� - � - L• G- <br />.-�, ( V� <br />The undersigned owner hereby agrees to hold and save blameless the City <br />oY Everett fz•om any and a]1 claims £or damages th.:t may arise because of <br />install2tion of the impro�-ement hereto applied for, and £urther agrees <br />to remove same upon notice from the City and to replace a11 public <br />property da;naged tnereby.. <br />� Ii , <-._ , ' � _ ' 9 <br />�, �. <br />��ll� S��•N � � / � I 4 <br />� <br />I�� ����� f� C' G'��' <br />L ,1 <br />� ��� .�__; ,� <br />, <br />4' <br />�. y Al�� fl �l {� iia- <br />��SI Sf�n/c� „� <br />i <br />i <br />S; n �S � �13���� 9� <br />� �.`. ,',, � <br />� <br />�Y � <br />� <br />fi �L b N C�v r�/ � I� S{�'t e f�� rz�y <br />CK, �,V. ��rc.;;d�ny il��;l s�yn w,ll n�r c�t <br />Signed <br />U�� d�� �.�.�� <br />i � � _ - ; �� <br />: �� <br />c. <br />�il b��icnd `}��z�%�r'� Ime <br />I <br />�`_ %t'`-,�-,�"� c� <br />