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APPLICATION for /i'i1, '' <br />The undersigned o+mer hereby agrees to hold and save blame- <br />less the City of Everett from any and all claims for damages thn', <br />may arise because of installation of the improvement hereto apn]ie3 <br />for, and further agrees to remove same upon notice from City anC- <br />to replace all .)public property damaged thereby. <br />i <br />/?Sr/G 5/ji/ S U /rI <br />F1Y/ '/vr�ir7/cJ/ :70 %7ur79, aZ` <br />G <br />4 -G7S,j <br />SA4. I <br />91I �rvIC <br />i <br />pale. <br />I <br />j' <br />° U+. <br />Location Approved. <br />1 f/ Inspected ... ........ <br />-._._...� <br />3 57h i <br />r <br />Dated Signed <br />// '7%i22.Ni. l�. tom• �,- �c..t?�%�-�/ <br />