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Date /% �"J,-'� �;, <br />AFPLICa71UN FUR �= ��E , ,'7- �i'; �' /— — % !:r'�� ,� i � J�' .� ;� : ' i ---- <br />_/:. <br />� <br />The undersigned owner hereby aPrees to hold and save harmless the City <br />of Everett from any and all claims for damspes th�t may arise because of <br />instsllation oP the improvement hereto applled for� and further agrees {o <br />rerrnve same upon notice from the City and to replace all public property <br />uam3ged ther26y. ' <br />-' �//1/vb �i'J/�/�� �' ��•��, ,.,_;, �_ <br />T�Ic�F� ��.rFp f/o,er�curA���/ -�•—iE �� .. <br />jY .3�o'X�/" s �/'��u,v�tf � ,f,. - <br />C'�' f�!"XG-" P�srs ir�lBEl.FD �-� ���� <br />;' i,u �ec'�;��; l-�s��io,vc� �'� i'� _.. � i� <br />� , �� <br />� �/ : f SD° /J.0 ��iE- GO/7N R 8�' '� u ,��•"� �� <br />,'Y(�" G,ec�s FPi-1P� /�r� �4 ��,. � <br />i il � � � <br />�PG,�T� ,=�' 7Ef F,r, i, i �-,� � � � <br />�� <br />�, N, I/�S fjLL nn P�-i'�rr Ir ��' � I/� <br />., ;'o" <br />/%C-(�r� ,�r'/ � t �. I <br />-A'�,' i . -i i <br />� I <br />l 7/i <br />/� `� <br />S i �ned �`. �' <br />✓i.i/� <br />•C. <br />�%ce�r <br />� .-%. <br />: �_ <br />, +� <br />/�'�c�, �oir; ,� <br />� _ _-____ _ <br />, /� � <br />� .5�� <br />Uwner <br />�fF�'�"/ �f/�-�",f <'l///%�-I�C / Contractor <br />�/('�'=:- •�/-�/Ic.:� <br />.��/� /,'; � . , � Ciil' �1 ' -';::.1 f <br />7-2�-77� APPROVED FuR L'UILDIiJG PEr i�11T <br />i ?�'1� <br />o�,� ��Zr�' Z �� %� — <br />