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Date �0%2.� 1(0 � <br /> APPLICATIOi1 for 2 Q� � '`"`���L"' , ��,,.-r'� <br /> `��� C�e'vcaa'E"'�f' ._1._ / � <br /> w �-c.-��,.. �„�r c.-t2,�fx�-�•t_�-6•-s� <br /> / <br /> The undersigned owner heren;; =�.�es to hold and save harmless the y of <br /> Everett from any and all claims for damages that ma,y arise becau of nstalla ion <br /> of the i;rtprovement hereto a lied for, and flu�ther agrees to re same upon <br /> notice fY�om the City and to eplace/�.1 public property damage ereby. <br /> / \ d�l' <br /> ' / 1 �,j� �'i""' _ <br /> � ��J'. <br /> � � <br /> Q / <br /> %� <br /> ry <br /> . d �_� -- <br /> ,�'4 � –—R-C C ,�a{�. <br /> ,z <br /> � <br /> j �� -�� �--- <br /> .`:;�,� _ <br /> w� _.,U_se _R__. ' <br /> ,�� , ,r <br /> � ��'�: -- l 0 —D — ---- — -- <br /> c' .C��t <br /> ' c-;r <br /> �;;�'' B'L '' <br /> . -- --_ _ . <br /> --- - - _ _ -- � <br /> - - - <br /> , ��- ���- ---- - - -- � �� <br /> ----------- - <br /> �.�F wC.�t/ ��'���`�, �? � p <br /> /� / � I � \7 <br /> Signed /.3z- � , �L e 1,N , ���I �'.k y `�� Owner <br /> . I ` y . <br /> , i?,� .. � � Contractor <br /> I ` <br /> � <br /> � c l � • <br /> C` •1�',� �1•��4�C�� � -�'—V V I`_C.L.�-�,;...-'_—'� <br /> G�c. e V�. � v-�,,� /0 <br /> OK• ��� �,(, / k " . 1 �ocation Approved.�-Q'.`-`F=`-"-`�.-�� ' <br /> � B.' C.Ja r/��/� am l �ii �� <br /> � Inspecied.�.�.�'...��w'�W'`.� <br /> ���1� � <br />