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Date .- (� <br /> ;�PPLICATION Por �Q.��.�✓l >d-�� � „„ ��,� <br /> ��n�-.-��`a�G�z, <br /> The undersigned owner hereby agrees to hold and save harmless the City of <br /> Everett from any and all claims £or damages that may arise because of in3tallation <br /> of t•he i:nprovement hereto applied for, and further agrees to remove same upon <br /> notice from the City and to replace all public property damaged thereby. <br /> 5cclh <br /> � <br /> 39T 5 � � ��z/.� <br /> � <br /> � <br /> �., 2 <br /> ti �ffy <br /> u a sr.,r,�N <br /> a <br /> � � <br /> 0 <br /> a � � <br /> � <br /> s;��r� <br /> x� _�— <br /> ,h <br /> F' �1 <br /> , �J <br /> ,,���� /yox T <br /> r. <br /> Signed Owner <br /> Contractor <br />