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APPLICATICN for �2 �y � ''_,_� <br />/ ^ <br />Date / � � ; ; (a C' <br />! <br />. . (- <br />The cmdersig�ed rnmer hereb� agrees to hold and save harmless the City <br />oS Everett Srom any and all claims for damages that Tay ari�e because of in� <br />sta3,latien cf the improvement h��reto applied for� and further agrees to <br />semove same upon notice i�om tte ;ity and to replace al]. public property dam- <br />aged thereby. <br />"�'0—\�-itX' 'vJ�,� '•�: �. / J O �/d <br />� .�.��F,v`� ',�. <br />�1 �-�-��� <br />(u.l.�f� �,ti� �''� W � <br />� <br />./Y\ �l t� !. .' n'. +RJ�..�� <br />/ <br />� <br />, <br />(f! � � <br />. r,: <br />�l . <br />Signed <br />, <br />G. K.���•Y1� <br />,. k .���.. <br />, � ' � <br />��t <br />,�,, '� <br />�• <br />..3d'���•' <br />\� <br />-- �. _ �ii �� ----- <br />3�- <br />✓� G �1 �i 1-� r( S G,' <br />% _ �, <br />� <br />Owncr <br />. . n'�. ._ 1 � , . <br />Contractor <br />.� ` ' ' <br />< /�,) _ , ., , .(�7y� .�!l� <br />�� - � ��` ;�� c�c� . ... <br />