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Dat- 1/-,: :'J <br />APPLICATION FOR <br />The and rsigned owner hereby agtees to 4old and s.avi'fiarmless the City <br />of Everett fr m any a d all claims for damages th-t majarise beca4se of <br />installa an o the im rovemen hereto app,lJed for, and',further agrAps to <br />'i 0 m- r I!\ ' replace all public property <br />remove same upon, notice from the City and to <br />damaged thereby. <br />Signed Owner <br />Contractor <br />