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l � � l` <br />��� � � � D L) <br />� � <br />� o_, <br />��2� � �� <br />Date�•? 9-ER <br />� � <br />APPLICATIUN fUR / 1Lli,iminR�r��J /+�n,���� c���� ryrp�v ���j/�.�, <br />nT qi sKc 7�wu is R s r.�w.n�, <br />'233o E✓ER�k�ed wy <br />The undersigned owner hereby agrees to hold and save harmless the City <br />of Everett from any and all claims for damap�es tha{ may arise because of <br />inst311ation of {he improvement hereto applted for� and further a�rees to <br />rerr�ve same upon notice from the City and to replace all public property <br />damaged thereby. <br />.F'LF�s.wcrl c <br />� ���Keuir <br />� our�tprs � <br />��/��� to.✓OG�T <br />�"l1 WieC <br />C•P.Or1 ND v S <br />t',f/TRAUC� 5t.� �on <br />�curas �o a <br />1Y <br />7 <br />C <br />J <br />C RS/NO �2,� <br />Signed <br />J�%�LIC, �� <br />7tuf � <br />17'��r� ���uniNarcn <br />Gl'o4W S11.J <br />'!� da�re�. oF S/LU <br />�o /IhdinPfYf <br />�, ll��� /] ST/f� •ai75 <br />6Nq�f u5F0 <br />A�.� nN r�e��a,� rw., <br />Uwner <br />�,fl�n �:4osw <br />360� c t w,, S„ Contractor <br />_ S6W�1\�L�i 411� <br />�/• n ^ <br />����//��'`' �/�. � 1Ju--�-j//� �" � � P��t-�..,: <br />e�- �;/ <br />� /� � -c c�i c r ��r � -s�� �.s.« , <br />ak�2.�A..,� V. �.�-Q�.,,,, . <br />