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A <br />/ <br />Date ��r 7% C � <br />APPLICATION for ���� v��%'u e�(' �� - �����L'�'� d�J ��R� <br />� :.t � / ��-�.:. <br />Q,c� ' -..J �1 _e.J<� u. ��-^--q . «-C e- � J � �,.� <br />w <br />�/ � G � <br />The un �e igned owner hereby agt�es to hold and save harmless the City of <br />Everett fro�.A'� and all claims for damages that may arise because of installation <br />of the improveinent hereto applied for� and flsther agree3 to remove same upon <br />notice from the City and to replace all public property damaged thereby. _f <br />/t�_ ,-. S�e, j ,^�P„ <br />I � �� u <br />I � `j ' �' yi <br />- �'`�Il` t^ � <br />H <br />�p o {.D�^ ' I � � �" <br />i �X�SI.��q <br />c ; ��� 1!Z'-�-, <br />� fy -.�/.r.zrf `Q -_— -- <br />�,.t, ..'.../ ./F; , . � <br />;��i�'��-: ✓ ,o• ,=�IG'� <br />�— - -- <br />Signed ✓�/� � � <br />�"„_-J i. l . <br />S <br />1.� C1 1����' <br />c\v `I <br />�,f <br />,� `I <br />_ j-- <br />q `''� <br />901 ;. <br />, \ . ��Y <br />� . ('?Kc <br />• ,,. <br />C r; � .`3 ,S Owner <br />� <br />), L (- d-. i �-/ <br />� ' � <br />� <br />� _„ � �_c.c.,-�r <<�) <br />b.l<.�.\\ �y��, . C - - <br />Ok. � �� �'. `' > <br />� ) <br />�K • �u�<. � � �¢.��uo�.• u�%/�% �''�/ <br />Contractor <br />