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�- (� o � 7 6/�.��67 <br />� �� <br />Dnte <br />�� ci_ cl_!L�.z � : %�� �- � . � � c=. /c: E .c� _ , <br />APPLI!'.ATION for <br />-yGi(/ ;� O/2 -� c9.✓Sz3 T Q�' u i'� p O tE' c%.,-i� <br />C��i , _. 5e �� .,F) �r =�—� c, r1 C'-r� F'�L.crr- ! <br />The underaigned owner hereby agrees to hold and savc� haimlese ifie�Citg <br />of Everett from any ar.d nll claims for damagoa that m�y nrise because-of'" <br />ine'..a]lation o£ the improce�ent hereto applie� for, tmd flirthei� a�rees-io <br />remove same vpon notice flrom the City and to re}�lace all public propertg <br />damaged thereby. � <br />i � � °°/ <br />, 0— <br />, ��,' v <br />T � '-�� L �a� -�— � /�/ 'J ,� �- � <br />; <br />, � �; r� �,,_ � �--� �— <br />� � , . <br />(1— � <br />i o ;{�c ,L-L-���„�,�-�„�c-l�.�o� _G� c;t= � <br />/'� <br />..�- ��h �,u..�-ir-- � <br />�_ � � <br />(� .� � ,�l_ � ` �'t� c_-� <br />�� <br />/ � <br />�C�C iQ�,....2 (1-.,`� -- <br />(1- , <br />� _� <br />Signed /�� <���� «- - Owner <br />� r� ` � ��_. �_; C ���_C <.- .: r- !� S o �" �, <br />c� O� ��.�5`� �ontractor <br />� , L� <br />��`'' V""� '-( �[_ u./L yc� z— r <br />����� � <br />� ������� � <br />