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I icy<c wL-TMCA E <br />APPLICATION for n If1-RC? U- L /�^ <br />The undersigned owner hereby agrees to hold and save blame- <br />less the City of Everett from any and all claims for damages that <br />may arise because of installation of the improvement hereto applied <br />for, and further agrees to remove same uron notice from City and <br />to replace all )public property damaged thereby. <br />a- C <br />JpN � 1 1555 . <br />APPROVED ...... 2+Suyor <br />9iDU <br />tnspected..,�-2—t--ZES.; <br />Fated % _ ? 0 — ��S "i�ned _ �l�zd7✓ <br />