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Date 2 6 G� <br />.h : . LICATI01d for � �� %�r , ?' ��� <br />1��' �-�a � "�—T �-� � i�j`�"'`f _ <br />The undersigned ocmer hereby agrees to ho and save ha�mle"ss �EHe-City <br />of Everett from any and all claims for damages that may arzso becauso-of' <br />installation of the improvement hereto applied for� and flirthei agi�oes-�o <br />remove seme upon notice flrom the City and to replace all public property <br />datnaged tl:eraby, <br />(�� <br />� <br />L <br />`."'�' �a`r`l d'`'i`�` d <br />Cv�� Q«.�.� �=�- Q"- �� �- J a e�� ��t��� ���' <br />,�ic� G k-�� <br />� ���� � � <br />b.i <br /><�' <br />�ocation Approved �'..�'-.'� �°�''�` <br />Inspeeted --"—�'"—""""" <br />�� L_. <br />Signed _ �_ )�t--��z� – <br />C�� U — <br />�' � �•'� .A� <br />Ok.� <br />61< � �'{ � <br />o.��,�'�i n�,�;/an <br />o��/i-�t.` <br />� <br />� 'o ', <br />��� , G�,� � <br />.S <br />Owner <br />�ontractor <br />� <br />� �...� r���«� ��tr- e�erc�r�ert wny _ base musF beo,t Pr.rvalr p,-�p�r� <br />'� `. . .. � _ an �t�ere Dnde <br />