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� <br />Pate i. � ' <br />APPI,ICATION for / 1' ,7 p? — ' �-- <br />i--- <br />..'_ ' ; � � � _ k� c. : ) � <br />�_ _ . , <br />The undersigned oi�mer�hereb�' agrees to hold and save harmless the City of <br />Everet� from any and all claims fo^ damages that may arise because of installation <br />of the improvement hereto applied For, and £urthe: agrees to remove same n-,n <br />notice from the Cii:y an3 to replace all public property damaged thereby. <br />. „ � � _ <br />�� � ;.j �7 . ��,.�� <br />�' i ri _ • <br />_ ��.I � � I , ,:.- �y <br />� . _ -:: G'o''--- -- <br />'P v_r.� ND !3 y i <br />,. cYRoceRy � <br />�;.�.' /^ i I <br />� l, �-� h-Grt- �o�� � i <br />,._i_ <br />'h'--_ t <br />, <br />�=--=_- i � �` ` „ <br />r Signed <br />Iry� l,i <br />J"b <br />�, <br />�/ :%�"i � L. c:. , c(. l' �. <br />C�� j <br />�� L'u .1 � �. - �, <br />� <br />6J, )( /"��.�� �\�a-�Y.__ r) <br />U4c. � `�Nr�c,: V�. �-'�Nr���-��, <br />�'I_ 1_, � �:-i� r<'� . : � - /; ', <br />, <br />,.. , <br />,�_�� <br />� <br />��. <br />�i <br />.., . <br />__ _, _ ,:., ,,. <br />�' <br />c: : �' . U•mer <br />L ) <br />�0 l l. il�t V <br />'" � �,� . .t � : i C � +. � �. � t,. <br />Contractor <br />��� <br />�ocation Appro��^d/�����t(� , <br />"� / <br />Inspecled ..��.�!crC,-li � �...y....�. <br />0 <br />