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Dato r��c. ' � _(� } <br />� <br />AIPLICATION For u�R�N .L� � 1.-�-�—G1��LJ <br />'�%GL.�CJ��%,�(, � �. �,�j'',.�� G+..�C� nNc.c�-1�aCJ.�' <br />Tho under3igned owner hereby agrees �o holfl and save haim7e'ss ifie-City <br />of Everett from any und all claims for dc{magea that ma,9 ariso becauoe of" <br />installation of the improvenent hereto applie3 for� n^a ^.,�„th�r.agrees-io <br />remove seme upon notice from the City and to replace ll public property <br />damaged thereby. R�vUyV� >t.32`j <br />� �,/� .' � <br />�L' <br />A <br />�'" �( [ 3 % . ,�' / G- /y •—� 1� <br />i <br />�I �� <br />__ c <br />I c <br />j 6N7�i�C. <br />1 o r �� <br />� <br />� <br />�{ -- /G�D,. <br />� �cL���.c J <br />J <br />�)' <br />� <br />a <br />� <br />i � � <br />���niw•�u =� �q °c5� <br />, :, , ..� �,rv.� <br />....�..,—..-- ::�..:: `` � �' <br />,nal�F:"il',Q ............................"' ,V �� <br />� % , Q �� ����FO • --..-__"' ___� '—� <br />Q. ' �� . <br />� I— . •.e9 • _ .�.. _ __'_ <br />Signed ��' �e�----- Owner <br />��cL, ; A/ �Z.L� �. I'��+—i-��' -_-__.— �ontractor <br />J 1�����y1 Q <br />Ccn�vn �F�( - [4.�%V�//SI� ' <br />� � <br />cKi/ f%�- <br />o K 6'� V', C'o-f��. <br />ol: �'d,-:c:<. ,. <br />C �r <br />� <br />�-t,l: �' "_Li=� .� J / � /. - / <br />f0��(� �/Jr�CsaYi.� "�/i t'� <...� �j.�L v.K ,c-. r.. Y�l. <br />/ <br />J l / <br />