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Date e_&ev �, /V L.f <br />S`�AwlOi4 +Z l7 t�iG LO, dr= G�iSc i�'e.Q.f/i.F, <br />APPLICATION for _ iy��rr,—ER ri cs �E a i cn wi.o Qcc a --c c 7 �j <br />iLL o v •l ��Gr/L�� �//�l f-'�'%/ <br />The undersigned ovmer hovmer herd agrees to hold and save harmless 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 !lather agrcbs to <br />remove same upon notice from the City and to replace all public property <br />damaged thereby. <br />iz Yx 411. J <br />md- <br />ALt ON IJIFIV,y7 <br />Signed <br />T <br />s� <br />i <br />-4c Ave3 <br />vel/J <br />Owner <br />uontractor <br />