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APPLICATION for <br />The undersigned owner hereby agrees to hold and save blame- <br />less the City of Everett from any and all chins for dama-es tha;, <br />may arise because of installation of the improvement hereto annliei <br />for, and further agrees to remove same upon notice from City anc. <br />to replace all )public property damaged thereby, <br />LIGHTHUUSC <br />A le"ZUIc f.JF►L�H't �� Ei2a <br />Dated <br />GLCAR*h1%;C <br />M0Rd THAN $/ <br />SiEL L P1 Pe <br />edN e I' L& -re <br />L tJUQO <br />Inspected.._. <br />NtcK SUC-A .(GwNNPQ <br />Signed ';f' l1'4A/ <br />