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!1° <br />Date / q _ C� <br />/ C�LCATION for <br />0 -? (/ <br />The undersigned owner hereby agrees to hold and save harmless tfie-City <br />of Everett from any and all claims for damages that may arise because —of -installation of the improvement hereto applied for, and further agrees -to <br />I t r (PIremove same upon notice from the City d tdamaged thereby, r lace apublic <br />pro e <br />sty <br />Signed <br />ru 14 �i--T <br />8A otivs ) 1 3 <br />1 ,L-1-�Ia,y III <br />6ontractor <br />c, a- <br />