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Date _�-- �) - � � T/ - <br />APPLIClu^IOPI for PEI?D1IT to .i1�-r: cc �� -re,.�� ` � , (cf' <br />,�y� , ��� ���.� - ��ti«� �� ���- - <br />"�.`, <br />'''h$ undersigned owner hereby agrees to i�old ru�d save blameless the City of <br />1'��rett £rom aqy nnd a11 cla.ims for dr�eages that mug rsise because of <br />i� ytlation of the improvement hereto apulied i'or� and further agrees to <br />rer,o�e same upo� notice from the City and to replace a]1 publiB property <br />damaged thoreby. <br />G j�C— <br />EL�� 0 7�S p�ac� <br />E VE(Zy <br />S� ATur: �� Y n� �-fE <br />---- -. - -- <br />) /,' r, ��,,,„� <br />_�.�f�� , ti:1 n��c�L o-� �y !' � " "'f' <br />i <br />, <br />�c„� �d_ '12��,a h � 3'0 ��r. <br />�ocaliun ,lpproved._��i��� <br />i� - <br />n��nrc!:d _. <br />yC.,�./:'..f��:........ <br />ArY�:OYLD <br />� ..... ..... <br />\\..�.��.��.�.�.r• <br />_—_—�y,___ _ ,� -- <br />; - <br />i'c�-e � � �c �.,, <br />FEB 1 21962 <br />.... . ;�f»7ror <br />. . . . �.1tV�:�Nii <br />Siened __ nn ncni ri crro�� �y� �/v�.c'r�{,� Contractor <br />� 2815 Rockafeiler•Everett Wash. ��(�, <br />"� �.'� �` �,��-.,.�-.,�-. ,. <br />01< ��,.,.� �/��`.� �.` <br />�'K.:;�::�c�?.E_��:*��:<_,�.. (/,''�..%.c',-;. --,-, �<•_ ;1 <br />V' <br />