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<br /> DC.1'9 ��/i !% CO J�
<br /> APPLICATIOi? for � S� � �tf ( b �J
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<br /> �y'CLl!,vCLt%t�L[.f-O-jtiJ � CYM..�'CG� ;��cu y� � !d `_t» �4'.. ,�.�w,(.,...tL�lJ.c:';�
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<br /> The undersigned owner hereUy agrees to hold and save harmless tfie Cit,y
<br /> of Everett fron any snd aYl claims for damages that ma,y ariae because of�
<br /> installation of the improvement hereto arplied for, end tlirther agrees �o
<br /> re-nove sama upon notice from the City and to repla�e all public property
<br /> daraaged theroby. //�
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<br /> . Signed e�,, /._ _ l' �,,._w.�ri , 'Oumer
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<br /> I�0.,�� I�G�/ ��P t� I'� contractor
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