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a <br />j�kj 0 / <br />/� ��/ <br />�/" <br />�/v✓e l �2Je.ir,� Date � <br />� <br />APPLICi�TION FUk _ (p%�� �- ����<-„� �-v� <br />The undersigned owner hereby agrees to hold and save harmless the Ci{y <br />of Everett from any and all claims for damap�es th�t may arise because of <br />installation of the improvement hereto applied for� and further agrees to <br />rertave same upon notice from the City and to replace all puhlic property <br />dam3�ed thereby. <br />".��� �G� �= ;7,4..a'v <br />,- .fi <br />,;. <br />Signed <br />r 1..: <br />G�� �r.-`r^`�.-,�,a_ "��A._" <br />��� <br />e <br />� ,% <br />�. .'�� i����e—"-/G/u.C=J <br />/ <br />����� =� <br />� r; �ecr-,.��..-� Sjv.... <br />�_ <br />�v�.., •r���:.�_ <br />j c��' <br />Uwner <br />c, _�'�`/ <br />