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Date <br />i <br />APPLICATION for ,r-�F�r . 9; 9C e <br />The undersigned owner hereby agrees to hold and save harmless the City <br />of Everett from any and all claicis for damages that may arise because of in- <br />stallation of the improvement hereto applied for) and further agrees to <br />remove same upon notice fron the City and to replace al uLiL op�ty dam- <br />aged thereby, <br />148 <br />8�0" <br />8Itty .. <br />07/ <br />�'T,OiLp GiCSG100, <br />�r/Sso�l <br />Signed <br />LotaSon App_;'5 e <br />C1anc�r <br />Contractor <br />