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M <br />Date � ��� � <br />AI-1�LICATIOId for /��5%/•rG /!-y���;+�il/.Jli�i, �/Gi:� �3��- �G;JO_G�^gi�Lu%aY <br />The undersigned o�mer hereUy agrces to hold and save harmle�s tfie City <br />o£ Everett from any and all claims for damages that may ariso because of` <br />installation of tLe improvement hereto applied fo^, and flirther agrees �o <br />remove same upon uotir,e from the 4it,y and h.o repl�r,e all pnh]ic property <br />claraaged thereby, <br />� .� ' . : � ` � <br />I>p , <br />�� t.- .��. <br />r���� _,UG��-_ <br />. <br />� C.�,L�,,,.�G, _ _ <br />�ocaiinn Approved� � � �� <br />_. <br />�,�<n Pc'etl .....................:................._......_.. <br />Sibned <br />, ,, <br />!/�'h.,n- i e ` � <br />., i � • . � � <br />/�wt�tt�7�'� <br />Oi�mer `'y �� <br />Contractor <br />C. lj �� :�,..����� �L., ��l'.0 L -i.� `�J � , �������� <br />,� � �L � • �� J _ \I�;`C� •�R�'UT <br />. <br />\ n `1S 1`rl, • .. , (,',' <br />V <br />: `� � �� . . � i'dti, <br />