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i <br />APPLICaTIUN <br />�� f <br />C�. (�'^ � �f <br />� �CI <br />Date i� �}/1C' , <br />� <br />s�c*� / C'o «.y <br />The undersigned owner hereby agrees to hold and s3ve harmless the City <br />of Everett from any and all claims for dama�es th=t may arise because of <br />install�tion of the improvement hereto appl�ed for� and f;irther agrees <br />remove same upon �otice from the C'tty and to replace al: public propert <br />dartv3ged therebY• / ,-, ,' � ' �' ,r C :. `, <br />� / L' .�.. L._C . L c y ( <br />Signed <br />O.K-r.,'^�?.G d--z�-su <br />�M"f�-��i �!L �/<�„�� <br />/(s%� �� <br />�6 ,X 3,p� <br />fs T. cANoh'�' <br />,� a_r <br />� <br />J <br />0 <br />� <br />W <br />ractor <br />� .`���.N-Q�'V^'� l���� `^� C.\Tl-1 � ....1�i_�.{ CL�"�'� <br />� � <br />� , <br />a <br />.� <br />;�. <br />