Laserfiche WebLink
;�FYs,E ��'c ��- <br />N <br />� <br />APPI.ICATIUN FUk <br />' `1 r'— <br />/�Q g 9 <br />�3/� <br />.a <br />Date � '? l'� <br />��t/ O�✓ /.L�ST S�OcS t�r ly�'_�C%%9 ,2�/-'drS t-/`"u ti! <br />����T�O/JEvc.�AV/NN� (�l✓c'n!•vL.!_[..cii�c/9-T1�rJ� <br />Fpn��vi�< � <br />The undersigned owner hereby �grees to hold and save harmless the City <br />oP Everett from any and all clalms for damap�es that may arise bec�use of <br />inst311ation of the improvement hereto appl�ed for� and further a�rees to <br />remove same upon notice from the City o��d to replace all public property <br />dam3ged thereby. �,i'� � �o/ <br />S r'/1/�t,GCy' `'- <br />'li���Ey �,r�� <br />iJi2�'G'T/Oni � [ _ <br />Si�ned �� L������` ���2F' Uwner <br />��� �;�,� � � �- � <br />_ .S �— __ �•__ 'l/ e�2 � Contractor <br />%S�- �C� n. � <br />,U �- -; , ���, ���, ��aj <br />���n �"j,/.,��� <br />FIl6 <br />//�y� �'��C.�, <br />