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Date��/ �� �9C/ <br /> T <br /> APPLICATION for �.ifaQ� f.r,� D7 .5�.,�.+6--v�� sC2�/ �7 � 9h <br /> � G(/lLafi• <br /> � 90� %�L�-� �-�7t, <br /> The undersigned owner hereby agre=s to hold and save harmless the Cit,y of <br /> Everett from any and a_1 claims for dv.mages that may arise beceuse of installation <br /> of the improvement hereto applied For, and f1r_ther agrees to remove same cpon <br /> notice from the City and to replace all public propert,y damaged thereby. <br /> � <br /> �n��r.�r c <br /> .71VF1 <br /> � 5/GN �� ...cc,s.i{cN . Y <br /> �1 - 3 <br /> -— vc <br /> �S � <br /> - 1 ����� New� T Avc <br /> � �p,uuPY-� i <br /> y" u <br /> 5=� <br /> 's � <br /> _1 <br /> — L��V' <br /> 7 1�Rv1,C�,:Y <br /> Q��,.,� ��,�n <br /> _ s� �ano� <br /> � �_ ��_� <br /> ` , I � s .i."!G l <br /> 1 t .� � �=rF <br /> J,��Ur�.D • �/ � .• C1'T4 <br /> �� <br /> ��».,X «'�� ( inyt�a�z�1 / Owner <br /> Signed / � � <br /> � <br /> � ��_ � -��� Contractor <br /> r���• ^�f <br /> C`� K,�l� . � �..: � /) <br /> ( � � �. �C � : �-� '' <br /> C�1. ��r_-c��t.F� u�-�. �3ca6on Approv/e _ ..�.<� <br /> ` ,J/�- /�..�-� Y -�,/ <br /> hisnected.__._---- -... <br />