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� <br /> Date ' !� � 7�', . <br /> _ <br /> 1 <br /> _ � <br /> APPLICaTION FOk�-� �c -r� l'-�:_ �( �-�t-r �`� c� L�_t _�f.� ,�1�--.._r .,�. <br /> — , - - / <br /> The undersigned owner hereby a�rees to hold and seve harmless the City // �/� <br /> of Everett from any and all claims for darnages th=t may arise because of �� <br /> installa{ion of the improvement hereto applied for� and further agrees to ��7p <br /> rertr�ve same upon notice from the City and to repiace all public property <br /> damaped thereby. <br /> .a <br /> �,1. �� • �% 5S, <br /> � <br /> � <br /> ��, <br /> � ' <br /> �, , <br /> %� �.� r � <br /> � ' � �`� � � <br /> �,J \ <br /> � -�4 �� <br /> -�-� • <br /> oi I ' <br /> I � ' <br /> ._. �l.i . C ��.� . JA '_ <br /> , - .� cci�ar <br /> ` ; <br /> r: , , <br /> .� � � � <br /> Signed �-. _ r�.� � � C�c e_ �,� �.� � � Uwner <br /> r_ �' .t�� / cL � <br /> —�'���;�_ c.����—i <br /> �-� � ' ��: . Contractor <br /> , <br /> � � / <br /> , <br /> f/12-�= <br /> l2'-.�'-` , y r,�i�,�,!� _.w��_�,`�. . .:� . � _� �.-,_ <br /> �-yl L ��'�-7¢� � <br /> �-�la :��,..�y�.,. �_,_ c. <br /> _�,.;. .. , <br />