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R <br />� <br />.SU13Iv1I'1 ]�:V1Ui:NG;�'CI-!/�'1 ]�:C?U1PivtL:\`' <br />� con-ii�Li�s �vi�rii �riii, s�r���u�,i:ns or. <br />� 1I-IL UNDL•'12�V1:1'1'L:R5' LAI�ORATORI'. <br />lIVSP�CTIO�` OI' SIG�' RLQUI1tI;D <br />B�I'012� �Ri:CTION. <br />CALL 259-8745 I'OR INSYLCTIU\`. <br />/���` °' <br />�����T <br />Date y tJN� (G' / 7 �/ � <br />APP 'LIC � TION 1 oi: /�ka�i'l 77� ��kc'�-j S'/CC..I� /�'i .J.�.�G l'.as�1ZFi�Fi�G��� <br />� . '.l'he undersigned owi�er hereby agre�s to hold and save harmless the City <br />'. of �verett fron. any and all claims for damages that may arise because of <br />installation oi the improvement i�ereto applied for, and fin•Clier adrecs to <br />remove same upon noticc froin the City and to replace all public property <br />damaged thereby. <br />� VALli�: ��COQr � <br />GIRGUITS: �d�t/� <br />3� <br />��r-A-t�-s v� P2�vsE� pRo�`�� r%r�G S/�v' ,t�� <br />�r� o� /1-ry��l,�.o /��.�/, <br />G f�UflD Gt,�/ s rf-�ur�Y �-ni C� �'�n�s Y�' /�`�'l/tlEk"�t'�,t!'ls <br />�JlZ �� �O�✓F_ � � <br />m <br />�/ ��/ ,� �c%;�r: � <br />C - �; �j <i <br />C�vci�r <br />itractor <br />,_�Cf�y3', <br />� <br />