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� <br />FPPLICATION FUk <br />• � .., I� l.� ��C�f CO ,�:% <br />.,, , , <br />� <br />Date_� <br />/" `��� �/arTen( <br />The undersi�ned ewner hereby a�rees to hold and save harmless the Ci{y <br />of Everett from any and all claims for d�map�es th=t rrv3y arise because of <br />install�tion of {he improvement hereto appl�ed f'or� and further agrees to <br />rertave same upon notice from the C[{y and to replace all public property <br />dartv3ged thereby. __� __ <br />, . _ � , . _ — <br />, , , � /;;i C� � `/ <br />! <br />I <br />� <br />� <br />� ---_ _ � S rh -- <br />O � <br />. <br />� N <br />� .F—/c."r' <br />a <br />�� '= 1---=� <br />iN � �? r' G�'t�:.z�-.-.-`/ <br />� �, ,,, <br />,. � <br />� <br />Signed r�����L.�,� 'i�c �z���l� <br />� ,- / <br />� � �.� t�-L � �C/t.,` C �� <br />,A,� � � • '_ , ,/ ;�� �_, <br />_�.� <br />�;,C(, :�. � r�'� - � ��, <br />:� <br />�3wrfe� <br />actor <br />�r/_ , <br />'��, <br />