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<br /> .. , Date ` � 1.�fc�
<br /> AI-YLICATIOIQ for
<br /> 7
<br /> The undersigned owner ereby agrees to hold and save �aimles3 tFe City
<br /> o£ Evcrett from any and all claims for damages that may ari^,e because of"
<br /> installation of the i�proyenent hereto applied for� and flirther agrecs to
<br /> remove same upon notice £rom the Cit,y and to re 1ncA a7l Jn�hlic rronertv
<br /> da*naged therebq, (
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<br /> (3 �dq - 3. do — 3 , o � #ica� �`•o'�
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<br /> �nspected.._ � .__ __ . .
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<br /> �ioned i , ,, J � ��J , � ,
<br /> '' _ Owner
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<br /> l � , ° � aL r�" �� Contractor � �'
<br /> ,�/� � �QF'.
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