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j(/G-ON� 5/G�it/ /`✓�� �%�6G ST, <br />APPl:CCA'1ZON for ,�_ <br />The undersigned owner tereb;� aRree3 to hold end save harmless <br />the City of Everett from er.y and all claims for dama�+es that <br />mey arise beaause oP inecellation of the improyement hereto <br />applied for and further aubli.c pTopertVedamu edPtherebyce from <br />City and to replaoe all p Y C <br />� / <br />� ;. , <br />� � ---- --�r <br />i}� 1-I PC-'1� E 1Z5 t�%tC�f r�� f SOIJ�• <br />jt E ,� l l, � � �-1.� �, �.� <br />L <br />,, ----- ---- -- <br />. � <br />� <br />�� <br />�,���-�Gr���-"�� � �� ��- <br />'��'��e�i%.?%�nr� ' � "�+ <br />. 0'�. /4-!.f..'-.. �I� <br />,��� t _... <br />h'CC�V`.� ,.... <br />:,I (- iV H A � I TJi=� <br />.�I �= I a e� � y< <br />Glt/'`'�".`'`�[- c}� <br />Q I C- N'7`o Sca.' i,�� f- <br />IF� �U(-Cr�•`r!�f,'i' <br />4 0 I'} I� '�: y: Cl._ ) C=. � i.i br -� ., ti� C.. <br />1 <br />�1 <br />Dated -t�� f� ' %=� Si�ned <br />�; � <br /># <br />