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G <br />.. , ' ' 'I _..���: � .....:� <br />„ . ... .'_ ' .. ; F <br />... � � .. � •. .'..;:i:.0 <br />_ ,! ,_ � <br />, . ..� ';._, �Ci'io��J. <br />APPL.ICATIUN FUk :'y, �_ ,-�-wr/ :`��. �.: iG� <br />�- ;� / ./� n-� ���-1 <br />Q�� <br />�/V . <br />�%/7_'y'�,, <br />Date_ t� "" � � - � L' <br />The undersigned owner hereby aprees to hold and save harmless the Ci{y <br />of Everett from any and all elaims for damap�es th?{ may arise because of <br />i�stallation of the improvement hereto applied for� and further aQrees to <br />rertave same upon notice from the City and to replace all public property <br />, damaged thereby. <br />�� �ii! <br />�--- <br />� . t(.C/`'. <br />^ ` C . <br />� �' �' <br />Signed <br />, <br />� , <br />,,� � <br />OL� •-i � <br />�' �, <br />�G �'�n/'�. i ,.sr. /��r'«7< I'ir�,�, r;< <br />�(,L �`�"S -r t"� o-,-� ('P� �a^rc, �2c,� <br />r I' �%l�-C �/� �� u i� <br />C <br />s <br />Owner <br />�.__ �.�. <br />r <br />CITY OF [V[RETT <br />'APPftOV D FOR E3UILDING PERi�'lIT <br />o,,,� -I'- -7/� ' r+ , ,��1 _ _ <br />� <br />f <br />