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Date '?IP, 7 A <br />aik <br />APPLICATION for <br />.�.tL�.,L,J Wc%it[� !�%/� 1'�.ccf_. i...�l — .......�.���—!��•G �...f-�J <br />e undersigned owner hereby agrees to hold and save hnrmloss tfie 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 a].1 public property <br />damaged thereby, <br />Inspected <br />Signed <br />22=q,1 <br />L <br />FLA-M <br />TA►-i2( <br />'�,, 1, <br />dot amime Tc/. we Dal <br />OkCu.� �gwea�C��e:/,(/�?�erUii�.i�cfcaar%1 <br />W.A: /I.C`,7a.:�: Pio,•.�i�y �'liuny�/ as itol'ecl <br />em /C* 9, /-? <br />3d D — <br />foal /, v, <br />0.0 <br />1 <br />pC , ..• vn9 <br />CO,]f rzictor <br />r• <br />on e1CYO1/oN ¢ ft/et plea"J• <br />