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`Q�i <br /> � <br /> 2� <br /> Date •" / ' � j'_, <br /> . ,� <br /> , � . - <br /> APPLICATION fUk—. . :_ ._____-'_-�" ��-' -_ -�--� •.. - � a��� Ru�ar <br /> The u�dersigned owner hereby agre4s io hold and s�ve harmless the City <br /> of Everett from any 3nd all claims for darr�aa�es th=t may arise because of <br /> installation of !he improvement hereto applied for� and further agrees to <br /> rerrave same upon notice from the City and � replace all public property � Cf ( I <br /> damaged thereby. „ �_ � ( ` <br /> <' . <br /> I c /,'�'.��`--� ---- - _7 j' <br /> � — �- �� <br /> -- � U G !C ��'. /�V�= , ---- <br /> .�._ _.__._. .. ._.__. S/G �`1 � �, <br /> �,� , � ,�X,y' o <br /> �� � ` ,� ,.� �. PY <br /> : EX qN � �`'i <br /> B � iNr.U�' 6 C• <br /> � <br /> � �.. �`�� <br /> � � C--. <br /> �L <br /> �i � <br /> > � <br /> �� I <br /> I I <br /> � I ' —._'�____ --�---�--� <br /> i �J � . - <br /> bwner <br /> Signed /.'.c , , , <br /> / � ✓ �- � � _^ �:,. Contractor <br /> /I —c ! �.ic%_r . - - <br /> (�. �i „ .']...-.l c..� � -_ _ . IY `^ .�.. <br /> �4� <br /> ��K yE�yQ. � -'1.,5'_-� �'.'' �i-:_..� �r � <br /> 1'� T'�,<^c�.. , . . , <br /> �. :% . �' - ' <br />