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�- -- - -�- , <br /> . _.�� . �/ ���� -� <br /> SUGLiIT EVIDcnCt THAT E�;UIFh'iENi <br /> C0�1PL'�=5 �'lllN 1f;E STA[:�Af:DS O�s �/�y/" <br /> Y'f"��' ` <br /> TH� Ui:D�;::ii.:�. �.o' L1,30��1TORY. <br /> ''2�D <br /> INSP�r1':C\ C= ; . . �,__�.r <br /> � �C,-','. . ,. � <br /> � :i C'�,:: C : -- ;�i� <br /> C_'. ' : _ _,._..� ii;'i '�.,._. _.,.� <br /> Date <br /> APRICATIUN FUf, <br /> Body Wo�ks= a��iXR��I(��XX[����XY 1310 Pactfic. Everatt <br /> Costfih� S���7��Igned owner hereby agrees !o hold and save h�rmless the City <br /> of Everett from any and all claims for damapes that �y arise because of <br /> inst3ll�tion of the improvement hereto zppl�ed for� and further agrees to <br /> remove same upon notice from the City and to replAce all publlc property <br /> damaged thereby. <br /> ; <br /> i <br /> ' <br /> As Shown On Attached Destgn Sketch <br /> � <br /> i <br /> i <br /> — i <br /> I <br /> � _� � � j <br /> S � /' �� �_ _ —►-- --- Owner � <br /> igned � <br /> S. _ / - <br /> �kG• � Contractor <br /> ��C�"J� t l� � ,�'✓ CITY OF EVERETT I <br /> APPR����p FpR DUILDING PERMIT <br /> GQ/�� 7/�"�L � � <br /> Datc_ .` �1 � f 1 � �; I '� � i <br /> � �1- �� / —C i-7� � �/ l _— ° -. <br />