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-,`-,j% ,%/�T���'''�f <br />. . �___._ __� _.__ _ ---- <br />; <br />- j . ,- : <br />. , � ���J� , i <br />�;"�,� (��V��..i � i <br />� <br />, <br />�, � ��-� � � �/-��' ��� <br />; <br />Dat� �.; ;i� /�— <br />. APRICATIUN FUk � � : � , '' = ,,- - <br />,' , f,-ii /- �/- i <br />The undersigned owner hereby agrees to hold and save harmless the Ci{y <br />of Everett from any and all elaims for daman�es th�t may arise because of <br />install�tion of the improvement hereto applied fors and further a�rees to <br />remove same upon notice from the City and to repl�ce al! public property <br />, , damaged thereby. <br />Signed <br />:.� / '.� , .. <br />. , � �� ;, : , <br />r , , . � �- , /' <br />. � . ._ .� . . ' <br />y XL� i; ' . " <br />� <br />�aitAD� � <br />I _ _ -- <br />�� u <br />I <br />i <br />�r ",""�.�-". �� <br />� <br />I <br />Uwner <br />" ,' � , - � - �:�,: " Contractor <br />� � !.% / � � <br />�,. ,%' <br />', ,,,, <br />F. f� s�f ' L. Cr -- 7- 7��. <br />��r .S�icS � -7-? � <br />CI i Y OF E`,"=,t,: i f <br />APPROVED FpR GUILDIf�;G PER�11� <br />� r 7i I <br />o,it �' . _ % '__ .,.J _�..� � __�_ <br />I <br />