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SUM:!T EVZ-E THAT EQU'PMENT <br />THE l';..._ iC; iT :,S' :.3 ;;1TCRY. <br />I:c"QUIRED DeXC� N ,i/2�o <br />[3 c 1 / <br />CALL ii FOR ;INSPECTION. <br />APPLICATION for a °I 3 6 [Jr_ -rM c R F_ <br />sT,+ ARD <br />The undersigned owner hereby agrees to hold and save ha:mlcss the -City 13 <br />of Everett from any and all claims for damagon that may arise because -or <br />installation of theimprovementhereto applied for, and Nrther <br />remove same upon notice from the City and to re Proper to <br />damaged thereby. <br />Place all public property <br />L <br />% tS'i APE. IF, PC�D&0,, <br />3� <br />V <br />v <br />LWIND Lo+,D = 30pspl <br />5TR0 Sit-- _ /E coo PSI <br />Sot L > p1, 00 P s F <br />V & I oC 6Y�ioo"- <br />Signed <br />I <br />r <br />J, <br />r <br />L1M <br />51c•N <br />F �fA <br />L. <br />W2TMcie� /4✓� <br />Contractor <br />-3 -3i o 0 <br />5v,, tTzc Cl i Y OF EVERETi <br />m•� /-s - tt� <br />APPROVED FOR BUILD G ERMIT <br />Date - i - 7 ? By <br />