Laserfiche WebLink
Q U <br />Date73*1 <br />=���=-� <br />APPLICATION FOR - 411rc <br />d <br />t rc e-1 n <br />the undersigned owner hereby agrees to hold and save harmless the City <br />of Everett from any and all claims for damages th=t may arise because of <br />installation of the improvement hereto applied for, and further agrees to <br />remove same upon notice from the City and to replace all public ropert damiged thereby. �� �� 2,/ <br />/ I UCH ke/— <br />S — <br />S+ cl c, Vq a 1 <br />E-4 <br />r R <br />� � I <br />W <br />N <br />s; SN i S' V� /��preved 'j"lj�s .SiSN i5 1`d 1`�j7/oc <br />NoN � pigs hi"9,od (Si 5 v K'�r�a✓ed -to wid-✓ s <br />V clued a ° o <br />Signed <br />Owner <br />C J O / / / / iContractor <br />V- — OTC �.SUPPeKT PnUST BL' [E Tl1ZEU( ONVRrvgTE PROVIalzTY <br />