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<br /> Date / � 3�� �
<br /> AFPLICATION for � � � �J �/�1�Y.u�"t-ii/1
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<br /> The andersi�r.ed owner hereby agrees to hold and save harmless e City of
<br /> Eberett from any and all claims for damages that may arise bec e o£ installation
<br /> of the improvemen� hereto applied for, and iurther a ees t emove same upon
<br /> notice from the City and to replac= all public prop maged thereby.
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<br /> �, � r � ��i�fE'/Q�� .L �7 C/ 9 J Owner
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<br /> � ' i� c ,;>>.�v Contractor
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<br /> , c ;,.: ," � . "�. , . � .'.'. .�r ';,��-, ..f/,f� ,: i ) �ocalion Appro��ed.//.��x,�e.f�.,r.......
<br /> I nspected,...,�,,�.`"/i=�r£�,y,,,,�.
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