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APFLICATION for � ���"''""' . � ��.�.r��/�J, <br />Y �\� v/' K � ' i���C�'[.^�'_' " ✓ <br />,�e �+�' • ,- o//� and save harmless <br />The undersigned o�vner hereb, aer.es to h <br />the City of Everet+, froM �:i:` Fit� �'-1 clai.r_� for d�ma�ee that <br />ma,y arise becazse �'t i�i'�:nl'�ait,i^r,. of t�ne i:�nr_vement hereto <br />app].ied for e�i1 iu:•ther �<<::'�es tu remo�re s�n�.:� uyoi: noti•,e from <br />Citf and t� rzPla:a all �u�iic property da:na�;ed thereby. <br />� <br />� j,� . <br />r�,, ,� .d� �. S�.L�s _ ��� <br />„ ' ,.t <br />� �.�.,..••'' ��,w: <br />,� , ,. ,.' G�ot� <br />C� — ^ .''' G`� <br />� � �„ ��<� '. <br />�,4�� . <br />� t.�a ���_�i?r��. <br />, <br />BELDEN EtECT4�IC C0. <br />;] :::;i 2815 Rockefeller Everett_��'nsh._ Contr;,st�,r <br />, ., � ���� <br />Lc�a�tion Approvc�.��.,��aa� �Uii x 2 1949 y����- 4��. <br />Irspecfed. /P.,���k_°�'�:� f, -So <br />/�- �rll Si�ned� �• �«�'L`-ai� <br />DAte3 � <br />