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Date <br />APPLICATION for - -' "i t t v_ :. ;n. 1J� .; J t nvc 1 at <br />40 <br />_v <br />The undersigned owner Vereby agrees 4 hold and save h8Tm1e58 Vne Ci <br />of Everett from any and all claims for damages that may arise because -or - <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 `-c-Z -• 2 <br />L�Lr, A <br />Signed <br />Owner <br />unntractor <br />