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M <br />Date <br />APPLICATIC14 for <br />The undersigned owner hereby agrees to held and save harmless the City <br />of Everett from any and all claims for damages that may arise because of in- <br />:.za3lation c the improvement hereto applied for) and further agrees to <br />remova came --.aen notice from the City and to replace all public property dam- <br />aged thereby/ <br />CLL h12A)JCL' ),q1 <br />e'r6-1• oc <br />fTC-C-1. 6W POUF <br />lVC--L. R A C 4F V <br />'N' <br />\, <br />ffAS "Z <br />.4 rb10E C�}5 <br />A p P 12 o x W C-16 /-1 -7 -S CO ^ <br />PAN A, 9UKYEE 646- NT1 <br />L �& <br />)V C U Ij Cont>:3ctor <br />5EP 1" 195G <br />PROVED . ....................... <br />Ok RJCoP.u,_... <br />K• %� , .......•..................�G%M� <br />