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/-�-35� <br />7/,2 7/ 2 <br />Date_ <br />% /2.7-2- <br />APPLICATION FOR <br />IV <br />PLr'CLs <br />E�r5 U6 <br />T�f I <br />.>IO0 <br />w itYl ti;yW <br />A ]FiiY1� �,cratlo�J A <br />USING 54m9 A <br />.0cSEt . <br />, <br />�c,'s <br />The undersigned owner hereby <br />agrees to hold <br />and save harmless <br />the City <br />/ <br />of Everett from any and all claims for damages that may arise because of <br />installation of the improvement hereto applied for, and further agrees to <br />rempvP same upon notice from the City and to replace all public property <br />Jawged thereby. / l IzUtu I<L` -4tAm i/," calk-` ll11 <br />r - <br />%- LEI i�L <br />G <br />T <br />0 <br />IGW <br />C12.i ��Q 4 <br />Signed i <br />l.A -6 rT Li AJ6 <br />X'44C..9-2-7-77- <br />r. aelav�c 9-11-�z <br />Owner <br />