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Date <br />APPLICATION FOR "1 s � � n ` <br />The undersigned owner hereby agrees to hold and save harmless the City <br />of Everett from any and all cliims for dama5es th-t 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 />ISJ <br />Uc�L Y9cGc� <br />., <br />l <br />Signed <br />Owner <br />Contractor <br />f <br />