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�-. <br />,-, <br />. � �� <br />� . _ � ; �,�,�z'�����'S'�S. <br />�- �--�g <br />APr'L.ICATIUN fUF <br />i <br />% C�C�G�, C%C�_'�vf � � <br />� y,'- (�-C/J.. ,_. �i, ° ° <br />jh� <br />Date Seat. 30 7968 �� <br />Rodev.ay lnn � � � ^�� <br />Northwest Mofe1 �o, - 9325 Qiag-�^^�� E�ereft� W¢shington <br />The undersi�ned owner hereby aqrees to hold and save harmless the City <br />of Everett from any and all claims for damap�es th�t may arise because of <br />installation of the improvemen� hereto applted for� and further agrees to <br />rer,iove same upon notice from ihe City and to replace all public property <br />darryped the��eby. <br />U,(.,f�6-e-e <br />S��>� <br />�N �%�Lu't �e_�o� <br />� 2.1 °. <br />SI�rJ '�E�'CM�I' <br />�L�e f�e�tin+ � �o <br />`�u�i Re� t�S "- � <br />zy �' <br />J�� �+��C���.p I�R�w cti��s <br />5� -y�� WiLl.�3�' � <br />(.�' � y-' � Ile Ic o nJ <br />O��N�RS �Ro�'e�y. <br />� <br />Z� �� l3oNon1 0� ic� Al. <br />�5fi�z�p,p�s�rroRT w��� aF <br />��<<4 lN onl owNeRs �Rol�t.'�y, <br />Signed <br />�,n�1.�nv�vj � <br />� <br />Rodewrxy !'nn, Northvrest Mote1 �o, <br />i � <br />/���j%� � <br />i <br />ok 6?.�.��1. C'.-��, <br />Uwner <br />ractor <br />