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�� <br />� <br />� '� <br />..i� r,. <br />APPLIGATIOA� for <br />A• <br />Date _�__7' b 3 <br />-��o � �7 ._`G'G-:��.c�t�� .� �l � � <br />//-Gtir�/�-.��� %L � =�/Gi2J i, <br />U;�.- - <br />The undersigned owner hereby agrees to hold and save harmless tfie City <br />of Everett from an,y and all �laims for damages that may arise because uf.- <br />installation of the improvement hereto applied £or� and fl�rther agrees �o <br />remove same upori notice from the City and to replace all public property I <br />damaged thereby. j <br />l�_.�'�� ` <br />, <br />i� 1j� <br />i�: <br />,.,4..�� �� <br />.� <br />Signed <br />� __ _ _ _ _ .- <br />, <br />� �3�A u`I !f <br />� � .� ; � <br />' 2-0 ,�) <br />`V'� � A L n 1\� <br />� . <br />- - � ------ - -- <br />----- - <br />I : • �� <br />___..__ _..:__..__. b_� <br />� <br />���_��a�a,� <br />il <br />, ' <br />�-�a. ►,� I <br />�------- _-----f----- � �. 0 �� _.._ _ _ ___ <br />_--�------_ _ _ __ ---�--------- <br />Contsactor <br />�+ y���� r � �,.i"��.E��1 <br />diC� inr' i ���r� >- A-,/J ..e�+ <br />?` <br />