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r. <br />it vgyY .., <br />0 <br />�����" R.�:..iieiv_nD!'.9.RYIYY 'r.....w_ t<...-.:'k✓O>mr�^.Cnr.. <br />-op J-37 0 <br />Date F�"!�' 112.3 /9�7 <br />APPLICATION for <br />q0 Lr//1 y <br />The undersigned owner hereby agrees to hold and save harmless tFe-City <br />of Everett from any and all claims for damages that may arise because -of - <br />installation of the improvement hereto applied for, and further agrees -to <br />remove same upon notice from the City and to replace all public property <br />damaged thereby, <br />5r- A TTl�C/ D/i A w/tiG <br />VA L 0 C 0. Ov 6-370 ��716 7 <br />��7/7 <br />j1 i v Al <br />W 11f C I NG l5 1'' <br />Signed <br />i <br />ca.V /w C <br />7 <br />�k. 6" ✓, � , <br />Owner <br />contractor <br />