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06Uy��,Xtit <br />Date Z — -L , l 7 <br />AYFLICAT2ON for 1 <br />The under;ligned 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 agrees to <br />remove same upon notice from the City and to replace all public property <br />damaged thereby, <br />dd ,, /J - S , . <br />CA;r'� — ) — / - <br />'rt'RfOk R+v LNL---� Y <br />v <br />dt <br />(3L 11L i <br />ylll R• B <br />- - - - - - ❑'E- 12' �I c <br />I�iL Y 0 <br />A-I-L aN PPivrT£ PRoPCRry <br />r� EkrRIL <br />IQIPtj I M0, °Q $kOP s' <br />k� <br />I- <br />I I r <br />I I <br />Signed L` L �w x1� , - - -' Owner <br />Contractor <br />