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�' <br />��, ,� / , <br />� � � �� s�- � � ; <br />�%/1/C , <br />i <br />Date G)i�� � . � % �� <br />APPL I CAT I u�J FUh • . 1 Z� T ./� �= �� ; <br />, <br />: C� ��.�1.'I � %S o:�:' _ _ . � , � . . � <br />i <br />The undersigned ownec• hereby aprees to hold ano save harmless the City <br />�f Everett from �ny and all claims for damapes th�t may arise bec^we of <br />insteliation of the im�rovement hereto applicd for� and further agrees to <br />rerr�ve same upon notice from the City and to replace a11 public p-opert 60 <br />�� � � r <br />ua�ped thcreby. �; ° ,wL. — 2 <br />`1 _ �� � ��� <br />__-- ; �;,,� <br />� �,_ - ��� �_� 1.;- <br />;�� _ �.� <br />i; y� _ \ j. <br />_ ___ ',.-� C>UY.�i12F � �� <br />\9 <br />`I -- <br />. -,- - -�--� . i <br />� /,�LOC+•. � <br />I_ _ ' <br />, „ � ��� . <br />. � MnEr, �: �. r '� <br />�v <br />Si�ner' , <br />`' �-�� <br />_,__ _ _ _�_____ <br />� !2c;� <br />/I'1 fE s r <br />/3 c � r <br />i2 o c c <br />U✓;�r.��- -.__ <br />ti�_ <br />J� � <br />pwner <br />� v � <br />" ;'' �- �7 - i � Contractor <br />CfiK , . <br />) ✓J�/ �C � <br />�Li.�/ , j h�;.��,�..- / • � � Q � `--� <br />� t J i"1 .-1 v`�: t'� 7( U� f� <br />C'r r�� o(= c=uc�.c y- <br />/c�. - �:- ;� ( <br />�; f ,/'/�F 4��,,.,.w�.«..-�-:.J, <br />�a - r?. ?� �� v� <br />' <br />� <br />i <br />: <br />� <br />