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� <br />n��:. �,�,� _,�,�- <br />AYf'I.ICATION for $�� R S 1� � 1. � �� 6, p NA L �� � i r� <br />I�aR S��N P�Rr�r�1- <br />���� �p w��� 81GNS <br />Tho undor3ignad ownor heroby agrees to hold and seve haimiags tfie-City <br />of Evorett £rom any and all claims £or dama�os that may ari,9e be�ause-of�' <br />installation of the iciprooe�ent hereto appLied for� and fhr�her agrees'�o <br />retcove same u�.rori notice flroa the City and to replaoe all, puhlic propert,y <br />damaged i�ei�etq. <br />j" ,�"t, <br />S �,,�'"°' <br />5 �,'",�' <br />c.AJ 11( <br />S�i� L,�7T,�tRy eN A"��OG. c.,�s� t-� <br />GARO�K e P�7"' s°pP�� FS <br />�u7'o MoS' �v� cL'NTi1� <br />GA1�U��I SFd•P <br />�Xl� l`'N?fte4NG� <br />�MiriK/�IA�✓dliS <br />M �lrk' u a <br />SE�4RS <br />Signed <br />3 <: rs <br />,;, c.Tf <br />t c rr <br />! c'� <br />l cT <br />l c �- � <br />— <br />Tor�� � o c��s <br />_ ORttar qa ,-� : <br />3%F St�ys <br />7� �P�dN C� ._ Contractor /'�� 3-���-.r, <br />� <br />'�'�5 a A E. ��ta L e.� =' _ ,Z �O� b c> <br />