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Date �r/�f Z� � �' C� � <br /> �J r� � <br /> APPLTCATION for ) � t.V D�I 1 tv i�1 �E' �� �_'� �-^ � o`��`-� *,{ l�G�����- <br /> The undersigned owner hereby agrees to hold and save harmless the City of <br /> Everett from any and all claims for damages that may arise because of ins*.allation <br /> of the i�rovement hereto a•.�plied for, and further agre� s to rer�ove same u�on <br /> notice from the City and to replace a71 public property danaged thereby. <br /> ��C� E?VS%i�l-� S/G/!/ �D X y�/ <br /> �US�t� C.,�S �--- - — <br /> L�' F'C- AOF ,� f� � �. �� ,� I <br /> l I— --- ----� <br /> _— � <br /> .E — i �7 ' -� i ; <br /> ID�� � � �� <br /> il , <br /> `}�}:�UI��k�TY LiIJ� �`� � • �� <br /> ,� �� �) <br /> � �� ��� � --� ���� - --��- - � <br /> r i <br /> 1 �' �96 <br /> I I C�� �� Dl' WA � k -- � ( I I I � ��� �`�,,.Tt <br /> �l•nJGFZG i(: (:�l-nG {� . � . .� <br /> '� <br /> 1 'r"tD tieG1C 1 � FRoT-1 — ��� �';h�(>` <br /> p 120 1�L r:T �' L I e! C �.rr�qO • <br /> Si ned�� i /�l c:�c�,-F/ { j��i h'L l�l t`re �.:_.�"��� Owner <br /> g /. <br /> w` <br /> / <br /> . <br /> i <br /> ' " /� Contractor <br /> d l/T/•� /f/��U�I/ ,+ ..�:".t � . ` ;.,� <br /> , <br /> �"���� �,_H.ti'�C�-:C � ,�/l,,����✓ <br /> , -- �ucaiion Approved • <br /> t� �: �-� �.� �_�.:, � , '�.. ( : a� � ,i .� _ <br /> � K ,<'.�. � �� ��;r �G:e rGi� !J��c,. T/ ONLy� inspected..-••....:�:'y-'.�;�"""""7"' <br /> ,� �i <br />