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/ <br /> Date / � 3�� � <br /> AFPLICATION for � � � �J �/�1�Y.u�"t-ii/1 <br /> ( (� �� ,7^ � // <br /> ��Vl� '�Yac+"_1��.d�-rv ���,��--�.r4t_✓l.. J(�-'�L'l-l� �•�✓ <br /> V <br /> The andersi�r.ed owner hereby agrees to hold and save harmless e City of <br /> Eberett from any and all claims for damages that may arise bec e o£ installation <br /> of the improvemen� hereto applied for, and iurther a ees t emove same upon <br /> notice from the City and to replac= all public prop maged thereby. <br /> . �� �r �,,a.e.. <br /> �,v : , , 6 <br /> �I�,�(., ' ' o <br /> � �D �-�" -- �-- --- _-b --- - � _ �,�- w�.� <br /> i <br /> � ,��'o ,�r_;�__,�(� , ti��„Cu.`�- <br /> pt�: LI G � T�SSF <br /> �I"� <br /> ��.�, ��, <br /> —__ __ __ _ <br /> --_ <br /> , � <br /> �o <br /> �� �9 n�� i �1 <br /> 0�� � �yq1 � � Z � p <br /> c,'+�'Y"�;, <br /> ���� ( <br /> ._,�� • ,• , <br /> • � <br /> .• <br /> i <br /> � � ' o '' A <br /> U,,,, — �- - -- <br /> �, � r � ��i�fE'/Q�� .L �7 C/ 9 J Owner <br /> �( Signed �/1 �ti✓}�.(/ � �v� , ,y,� <br /> � � J <br /> � ' i� c ,;>>.�v Contractor <br /> . � � ` <br /> l. _C_ � � <br /> 1 <br /> l � <br /> ♦ 1 , ' <br /> l / � <br /> U. �\• �\\ �\\\ „+(.�4 � 41< �' ���' �' � <br /> 7 �. -f i l _ <br /> C1-C �_ �, 1 <br /> Ok. �e�,.r V,�'.a��.,;ti p/l <br /> , c ;,.: ," � . "�. , . � .'.'. .�r ';,��-, ..f/,f� ,: i ) �ocalion Appro��ed.//.��x,�e.f�.,r....... <br /> I nspected,...,�,,�.`"/i=�r£�,y,,,,�. <br />