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� <br />, /��/��s <br />Date / • � � �� ''� <br />APPLICATIUN FUR i I i � ,+i r�'._..'�_.,_,.s. <br />. � <br />-�- - . _ !_.. _- _,_, .,_'_ _. .. � -- -' <br />The,undersigned owner hereby agrees to hold and sava harmless the Ci{y <br />of Everett from any and �11 cl�ims for damap�es th=t may ari5e because,�f <br />inst� 3tio �oP the improremen,t hereto�applied for��and Puf'ther%a�re�s to <br />remo e sa�upon/notice from the City�and to'�replace all,publi,� oroperty <br />�:m ged t ereby: � ' <br />u �. J � � <br />;.:�<... . ;aou- /u � ,, _ ..M•� ,. _ � � <br />;.—„�J i, _ � . _�._ .-c. <br />. _ _: . !. � , _ — L. °_' i.%�:� c ' ;; � -. <br />� � <br />: , ; �.. <br />-� � '. ,_ _. ,l <br />Signed � �� �� - _, Uwner <br />i- �C. .+T�� 1 r � �• r i,��, ��-', � jC�ontr�ctor <br />��i`��� / �l'' I ` r-% <br />� , . ' . . _. <br />