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Date /o - /i !� <br /> APPLICATIOft fo: i,..:�1/..1..., n� i-.�„ .�,_ I ��.f�� r$„v.���` <br /> 7'1e undersigned owner hereby agrees to hold and save hartnless tfie Cit,y <br /> of Everett from any and all claims for damages that ma,y arise because of- <br /> installation of the improvement hereto applied £or, and fhrther agrees �o <br /> remove seme upon notice from the City and to replace all public property <br /> damap,ed therebq, <br /> � � <br /> . ;,7,3(! - <br /> � ��� �. <br /> ., . <br /> , <br /> , <br /> 7� � � -- ; : <br /> � <br /> I <br /> i <br /> I � <br /> a � - <br /> = Lccation Approved -- - ------ .�ti"'"� ��4 �J <br /> � ' <br /> � InspeCted.._,_..... - - ------------- � 0 - <br /> L <br /> p`� ,, 1 '�`��3 ,.. <br /> .l u <br /> "•�n`Pc <br /> �••' <br /> �e�p�'D �';�t�C;\ec`r <br /> �•• ,•• ��1• <br /> r � ^_... <br /> Signod , i <br /> o.k,�,�,��� �,�� / , <br /> NoEctefr�r,l¢,��41 {ti Sru;�� _ � Contsactor <br /> V � � � <br /> ���, ���, , � f� � <br /> � <br />