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� �—.:� �_3 <br />lJz�{�C 9 <br />Date � / � C �, �' <br />APPLICATIOId for �,>( �y ��,L[�,,,L�,,� ,; . <br />�'� �- 7'�.J a,c�„�.. -�-c� -�.C�l«...�.w.-..�c�.c �.c.�ttii� ° `� <br />The under�ied owner hereby agrees to hold ��d save harmle"ss tfie Citg <br />of Everett from any and all claims for damages that mny ar3sa becanse�of"I <br />installation of the inpmvenent hereto appl3ed for, and flirthei agrees-�q <br />remove same upori notice from the City an3 to replace �il.l public property I <br />damaged thereby, <br />S(G��ti � � � <br />• � c�) <br />�' i `'`�`' �. !�/8� <br />Signe� <br />�i_�;� is T <br />lu'-o `� �, z <br />;�� ��� <br />G �l""" " / CW� �a-eiI �77 / <br />D k. ��.,,,.{ �! ��',,,,,` � <br />{ �.D lr <br />(����, <br />�' <br />n/ <br />J <br />�����/� <br />O.�r �� �L'/°� � c ��s..r.�.��G.. 4–,.Il.. i.t�-_. <br />,, / � � <br />/� �/— ,�2 - <br />��O�l ���iCl,�ri er c� J C-1e e J-e�7� � <br />7—� <br />