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; �- <br /> . � �� � � <br /> /�� �� <br /> ���� �� ��� Date . �` � ��— <br /> APPLICATIUN FUk �ll�, t. A I Cq S F�,//, �. �'� <br /> r .� <br /> ��� 3 <br /> The undersigned owner hereby agrees to hold and save harmless the City <br /> of Everett from any and all claims for dama�es th3t may arise because of ���/�..C. <br /> inst311ation of {he improvement hereto applted for� and further agrees to ' � l <br /> rertr�ve same upon notice from the City and to replace all public property <br /> darrHged thereby. <br /> � <br /> N <br /> s <br /> �G' , /,� 1611 <br /> � � �<, .� <br /> � < � <br /> \ . � — <br /> � HA�1ES S`(1 <br /> i <br /> � <br /> , s��,u <br /> � �—'4i` �� 'x-t[iHcx <br /> � „, �� Fr�om eae, <br /> � � <br /> � <br /> c.;Rs �--is' <br /> S�4i e/oc �`. <br /> ,.�•t / � l� <br /> SiPned __ �i.� �� CL�-C��-nc,ti �� l. /� ,�1. .T <br /> � J � —L ' Uwner <br /> /tJ ��� ��C �t�!�c-t�����-� �{�y� �� �v..�Contractor <br /> � /���-�r � �-.�'%�i,tJ,--�y �'i ly`_ <br /> rior i'.�-�.: ��J-y-r-� � / / <br /> �;�r�� <br /> �w<. C'�t�,.�,.av'.G�� <br /> � <br /> �� � <br />