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APPLICATION FOR <br />/-77 <br />(repL e <br />90 <br />DateDCT, 7 /5�t7 <br />//"%510 l/ 5 11/1 1111t t x4Px,- iHrla l -r;F VS as per- C1447 ra "-, <br />The undersigned owner hereby a,arees to hold and save harmless the City <br />of Everett from any and all claims for damages th-t may arise because of <br />installation of the improvement hereto applied for, and further agrees to <br />remove same upon notice from the City and to replace all public property <br />damaged thereby. <br />I I — I -- r <br />L) <br />b <br />AZ <br />COL lay .svE <br />dm �_ <br />C N TER <br />/IV&rR //zs4 <br />pAL z <br />seQ �sst <br />_ _ <br />SNQUBS _ <br />K- <br />�. _. c rt�2d FACE <br />NG Z <br />PATIENT 9{ M I N v I <br />CIS( HARC E tDA 1 IV�'r <br /><- PICK niLY ON <br />Signed lr.. •,._l <br />0 <br />41 <br />coLBY A V297- <br />0 If <br />EXIT U� NLY <br />DO JOT _ENT` <br />�h'�ratce c't, <br />Co bH Ave, } <br />k-kA— A4%7 )ld Owner <br />� 1 <br />� �Cnniractor <br />