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'JUI3MIT L:VIDL:NCTs' TIU1T I�QUIPI�dL\''i <br />con,u>>�ii.s ���rrl� i�ius s�rnNr�nat�s or <br />TIIL•' U\'DL121N1:1TisitS' LA�301�ATO1tY, <br />I\'SPL:C1'IOA' OI' SIG�V 1tL•;QUI1t�D <br />B�I'OR� ERliCTION. <br />CALL 259-8745 FOR INSPLCTION, <br />� �7�7 <br />y��3��� <br />Date �f'y'7 L- '1 ? , /�ll�� <br />APPLICATION 1�OR ��l��S"�LL �l�/����'(Ja��((�-� ILLU/i�l/vy��� �(�Y�iS <br />The undersigned o�vuer liereby agrees to liold and save harmless ilie City <br />of Everett from any and all claims for damages that may arise because oi <br />installation of the improvement hereto applied for, and further agrees to <br />remove sarne upon noticc froin the City and to replace all p:blic property <br />dama�ed thereby. <br />f�i;D(Ze�s : ��2c EUE�'c-_c�.r �uFIY vnLu�:: �oC,-o <br />CNN� i�Jfi� G ��b(-}- <br />.1— s` --�- <br />t <br />Z� %�li� CC�iMthVlcrlfU�� <br />� I <br />-'r=---'- — <br />Signeu <br />GIRCUiTS; (,%�! <br />R.-`�U'r�E �ET� T�.�l7C� ILLU�-�f� �IE�U f/N <br />STE--C:L F'OLG— , A-!.L Gy\1 l-�'-/V/a7� i�UP��7� <br />�'.�(CTtiI 6S EI.E-f�ICy�[.Cy C'fil/►.(�C7E�1-� Vf/1 OVC��II£ fk> <br />�'r'�lKG yz> Ur7u�` F�c,E Ri'P,eL�G� lC��,�t�Ut1�`rC <br />`� MG�f'cT A�ss�c�ticBCr Mc)c�NY� �r�� (�'��G <br />�. s��.�i< U' r-�oM -Et�S� C>F !'-Gc-r= <br />-k- <br />� <br />����.C. C'c���vwtc��rcFr <br />��=1l�lif�B« � tirC-c�tir� r�i�� <br />ll�' Ft{1�=� IGt� fl� [= l�('C' . <br />` � ��`��% �.�, <br />�' �lc' �Tj<.e � �{ - � lr 7 � <br />�t�' ��`%,� <br />SfhlGl�c F���(� j�Lr�c�TlC'� <br />(�LI,�N�lN/-�i� .5105N. RLL. <br />c�N F'l�r ufl'!G ��^rF�� l <br />Owuer <br />�lC �J� Contractor <br />, C�'L -! 3C-. � <br />1��=;.;.,_'.��;�� �. �, . <br />D'�' �7f—�,�.?�C <br />�, <br />..: �' -� ;�-�,;;if � <br />�� <br />