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<br /> � Date �
<br /> AP�.ICATIUN FUk , �a,:iit + n � � - : i;;�l � -1 � ,, _� ?' '
<br /> i„1. �; � . �1,� ., _ _ ,t ,' ._ � .. _ „ , . i ' _ � ;.� rnt:, -
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<br /> The 'unders�gned owner h--:by agrees�to hold and save harmless the ity
<br /> of Everett from any and all claims for damap�es th�t m3y arise because of
<br /> inst�llation of' the improvement hereto appl�ed for� and further agrees to
<br /> rertave same upon notice £rom the �ity and to replace all public property
<br /> darreged thereby. ,� ;,;,, : -
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<br /> � �. � � � � � C� Uwner
<br /> Signed �
<br /> � ���� � �E��� � Contractor
<br /> ,�� , � j DEI_DFhI ELECTi�IC, I�1C.
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