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� o o E`'`"� <br />1 � `�'', <br />APPLICATIUN FUR °�'M'r �l nnri, r=�;:�n <br />io <br />/ ' �' <br />, , <br />Date "�" "'�� �/ <br />� .%J �. � �-,.� . . <br />� : � � <br />,y./`� <br />/ — <br />''�<�7/ <br />�i'2z GYVE?r/'il,c'i �,��c � =i..;��: r'_ <br />The undersigned owner hereby a�rees to hold and save harmless the City <br />oi Everett from any and all claims for damap�es th=t may arise because of <br />installation of the improvement hereto applied t'or� and further agrees to <br />remove same upon notice from the City and to replace all public property <br />darty�ed thereby. <br />:; <br />f' r �:✓��c�� t�-��-?���T�,��� <br />�-- <br />/- + / c7R/crt� <br />'lO Ren�t'✓ !�a�r>�:-� L��- <br />i <br />�7 <br />Si ned � `'' /,`".`.� j C.� <br />� �T�...-� '•rrl Uwner <br />� <br />�' <br />— (.�,' Y,;, : �'`_ ;'`f.:� :J,'l,/' Contractor <br />� ��(� d�' <br />�/��) ��:r�J l'r� — • // <br />/ � eNiJZ ���� y <br />