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' .� .. <br /> - - L— �_ .,. -. <br /> � .. , � ... ; <br /> . ,._ , _ � ., . <br /> �� � <br /> ;�'. � . _SIGN P[R?IIT APPLICATION � <br /> SUBHIT SVIDL•NCE i1tAT EQUIPlSENT ' , <br /> ` . C�l�LZES HITH TIiE STANDARDS QF • � � � <br /> . � <br /> AN APPROVED TESTIhG LABORATORY <br /> INSPECTIODL OF SIGN REOUIRED • [ <br /> IIEFO[L� ERECfION. , • � <br /> � CALL Z59-8745 FOR INSPECTION. ! � <br /> APPLICATION DATE ��� � � � <br /> ' APDRESS � OJOC��I.�/�!!�k?�J I�, <br /> . ,' The nndersi�ned owner•hereby asrecs to hold and save harmless the � <br /> City of Everett from any and all ciaios for damages that may arise <br /> � because of installation of the ioprovcnent hercto applied for, and • <br /> . . further agrees to remove same upcn notice from the Ci[y to and to re- + <br /> place all puUlic proper[y damaged thcreby. ' <br /> ' � d^ . <br /> >_ • . . . VALUE: A � <br /> � • CIRCUITS: <br /> ,. � <br /> ; I <br /> , • FEE: � <br /> � <br /> ' ' ' ELF.CTRICAL: �-'II7—Lu"a r ; <br /> ^;uTAL FEES: ' I <br /> • � <br /> ( � , ' � <br /> ' ' � <br /> } ' . � � <br /> g . ��- ��� � p��, � ° <br /> ; . � <br /> ; <br /> . . . > <br /> : . � (. 8. �g> ���� � <br /> � � � � / . � . � � � � <br /> . . . . ; <br /> ; <br /> . � � x <br /> , <br /> . r <br /> � � 9. <br /> � 1 <br /> � ,SIGNED �!4� r 0 --� •r R�V'�!w!�l ��� ' <br /> � ,s <br /> Coxrttncron �1Nc.0 a�/t� GOIa-f� . i <br /> C <br /> • � L:censs No. ��) /LtGbS Gl�Z2�3 • , <br /> ' , w , • �,' <br /> �� <br />