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�- <br /> � �C'lti �— jcY� cc ( .:1 <br /> n�ta S�-�f'—G s' <br /> APl�LICATIOid for ��ECT/On� �� �y � /�j.�;�'p f//;,tl � <br /> L��4�L.!'o�i J �.e��E,o y �O! PEckr ,p,e�vE Ev�.cE;� <br /> The undersigned owner hereby agrecs to hold and save hnrmless tfie Cit,y <br /> of Everett from any and all claims for dameges that may arise because of- <br /> installation of the improvement hereto appl.ied for, and :lirther agrees �o <br /> remove seme upon notice from thc r,ity nnil t.o reP7nce a71 jn�blic pr �Nerty <br /> damaged thereby, <br /> SiJPFD.t7' ,yq�r ,(No <br /> Gi�y 6vi.(f.^ �'b BC <br /> AAICNO�ED TO E}VJY/NC7 <br /> ��CiLK. J lUGTU�C <br /> SvPPo,cr <br /> HAST <br /> �� NA�e <br /> A <br /> PEPS� <br /> �000 AWD <br /> [3F_V'e RAC�E5 <br /> .QPP�cit. �/3 F: <br /> To ¢' PE�Kc .7��vs <br /> APPi2ox /� Cy— <br /> i c G�CAGC <br /> Y.c/L?/6Lc�G'� �,�— �.J / 9 Y <br /> � ^�� � � � <br /> Signed � QL.Z�C.-Q-.d� Oumer <br /> / <br /> /�EP�si-- �d�.v ,Dvr;��.+>G �� D.� _FVf�cEr-,— <br /> ,p ��,�� Contractor <br /> �'�/ �1-� <n!e;.a�+.��-� <br /> o('C �"j�/'; <br />