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Date i <br />APPLICATION for d 1 O rC. <br />The undersigned owner hereby agrees to hold and save harmless <br />Everett from any and all claims for damages that may arise because <br />of the improvement hereto applied for, and fuitlier agrees to remov <br />notice from the City and to replace all public property damaged th <br />C oR�' T' <br />Signed <br />0 <br />dt' <br />OK. G'wt� </�„; CP%f1ro.� UrrC, t/ n.Vi-yJ <br />he City of <br />f installation <br />same upon <br />�I <br />:i Owner <br />Contractor <br />Location Approv, _- <br />r <br />inspected.,'✓ <br />