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ntu. rare firpg THAT CpUt�+�jr <br />,y3131 <br />1 <br />APPLICATION FOR <br />S 3/ W <br />Date ML <br />The undersigned owner hereby agrees to hold and save harmless the City <br />of Everett from any and all claims for damages that may arise because of <br />installation of the improvement hereto applied for, and further aprces to <br />remove same upon notice from the City and to replace all public property <br />damaged thereby. ley�+ <br />f� rr i FiyK,O <br />f VV 0 7/v ".7 <br />u31 na), <br />Li 7'1�j'l <br />-- <br />S i pcc�l <br />.rAirl .fa.n �. ��♦ <br />P �"�'G:�.!�, • f�. �i'f.3�',!'. e. ! fry <br />7 <br />¢-7,3 <br />1 <br />Ovrn e r <br />Contractor <br />CITY bF EVEP,ETT <br />APPROVED FOR BU;LDIN P n�> <br />Date _2�CyW_J <br />