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O�pZ� ��/►c1c Cs�F LL)PI Date <br />APPL 1 CATION FOR iZFull— !L>xF 1't'Ec-,r ' S < Co N — <br />The undersigned owner hereby agrees to hold and save harmless the City <br />of Everett from any and all claims for damages th-t 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 />(/) c4e .0 � Y' <br />S(,ro:• <br />All <br />Signed Owner <br />T Al m voniraccor <br />TI.F ' N to o va) 7 7? <br />D iT I C<S 6-4i :Y fT EV cTT <br />APPROV D rOR BUILDI IT 2 <br />Date 1 <br />