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i <br />1. A 1 .I <br />Date z/ <br />APPLICATION for _� O !. _ Cho A_ is ., o /� j-C7(•, <br />The dereigned owner hereby ag roes to hold an save ha- ass tfie'City <br />of Everett from any and akl claims �br damages that sq arise uee of <br />installatio of the improvopent heret applied for, a d further a ee'to <br />remove same poh notice fro�the City ahi to replace public pro <br />damaged there <br />es Ate N Pi LJ Tt PRO PoE R T y <br />thy, Gn, - - / = ° <br />3s? T <br />Signed Y owner <br />Contractor' <br />FN.�• <br />eC- <br />