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� r r0 :� <br />Date ; � ' <br />�• • <br />APPLICATION for .-' ' - � <br />-:.. <br />i .-�=- <br />��G��..�,._.u..�eLr c G K� �-t,., J �.,`�`«-v � .2 t.. , : , . . ._. <br />The un�ersigned owner hereby agrees to rtold and save harmless the City of <br />Everett from any and all claims for damages that may arise because of insiallation <br />of the i;nprovement hereto applied for, and further agrees tu remove same upon <br />notice from the Cit,y and to replace all public property damaged thereby. <br />Y f''U <br />� YFd <br />��R(�= i � <br />t� <br />53gned <br />_ . � , <br />:, a <br />----� _ �: � 'G'� <br />� <br />�' <br />� l\ c <br />..; c 4 <br />. t � �, r \c • -__ <br />C �� �� <br />n` • � ���i .'oA� Gc.1.w..� <br />pK. . . . . �n.eU0f1 APP <br />C(� i/2�:Gl,Are�,e u�,a,.-%G',c'�Y) <br />OIC JLt.�d.,tc< A�� ( `� �'�. � n:uecled...t <br />.f ``� _-`'� <br />i <br />� <br />}� <br />Owner <br />Contractor <br />1 <br />,. G . �.,r.1.��,-��, <br />