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� � �,: <br />i� =%� _�> - ` <br />Date ,%/i�t,�.�' /7. i'1„ `� <br />� � <br />� � <br />, .; , ,�/ � <br />� - � ,��" � <br />/ <br />A �PL I CAT I UN FUR 11 /,•'. !'.rU� : a C. .� �,:.0 1" r� ' � ...! �? <br />!..CiJI.,_.t'�'fc [��Jt. �� .�, � . . . � .:�'(�'Jf �:-�C_�l%i•.% —:H"ti N<-Cn+.1/U�-1.�`C-d-'�,.0 ✓5 .JC r"T / <br />" � q T � <br />The u ersig�red owner hereby aqre�s to hald and save h�rmle'ss the'City ' <br />of Everet from .ny an al��ims f'r dama s that m�'y arise.because of <br />installa ion of the t provem nt her to appl eJ for�,and furtt%r aprees to <br />remove ame u on no ce fr the ty and �to�replacLe all public property <br />damage ther by. � �, � <br />��d -F1D0°-� �, � a � ���C''� 'f :�J /`� _ t .r_�G � , i <br />� <br />g � <br />�a` d;zc.l�" - / C.t.V - <br />Sipned _�_ <br />I <br />^/ �_ . <br />.� C ( ', ' <br />Gi�'_ � -+ �,(� � <br />,,;, ���'��� <br />. , ..�r n. . Li� iiiii/ - <br />r � ,� � <br />/,%� / - <br />� ��' <br />, <br />�� ' ' <br />Uwner <br />r'k::.i � :•%.' Contrector <br />= ;f . . <br />