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Date 224A—, 24 - � 7 <br />ncuNwe v�xr�� ,r <br />APPLICATION for / /.ct!!M!A'fjTFn C&,V 1 .SIe4; ?-2/2 WeAjrk <br />I -CT .tL &f-CA' 77C P. ,11T CF <br />The undersigned owner hereby agrees to hold and save haimless 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 agrees-tu <br />remu-re same upon notice from the City and to replace all public property <br />dama-ed +hereby. <br />Mi/7/A u^AS <br />b" 4A <br />e 7:/Z <br />N <br />/ PCORLI FNrfn d"dnfi Ao .Svtw.' <br />'1N n R"7-7z • lwAtwkY <br />1 Si6F! S !3/'AM t <br />If <br />(,'EffJ E�f_1'T41C - F1Ff7/,`/C�� ('C.[—�'Ai74•�' <br />it"C1 -51f1V AXA7144 <br />A'<t. Cr' f*14'07-P' PRCPFR7)- <br />Signed ; 'f r_1 r i 1r;�;Yl�r�� Owner <br />W-1.0"m I'M <br />0k- 62W.L,.,a <br />Z"' t <br />contractor <br />