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; <br /> _ � <br /> _SICt� PLlU1IT APPLIC,l:TICH I <br /> SUB:4IT iiVID::17CE TIILT EQUIPIfEhT <br /> CC�fPLICS UITiI TIt+: STAtID.1RDS OI' ' � <br /> 6N hl'Pf�OVED TESTIKG L1UO:LATORY i <br /> I.tiSPECTION OF SICN RLQllIRED ' . . • �� <br /> iIEPORC L'FiiiCfIUtJ. ' � . 'I <br /> C�.LL 2.59-8745 FOk Il�SP�CTION. , <br /> APl'L.ICATIOY DATE Y �' — I <br /> / O� I <br /> ADUF.ESS �'`^'��>wl�' I <br /> The undersigned ovner•hereby agrees to ho;d and save harmless the <br /> City of E��erel-e from any and all clains for darages that ray arisc <br /> because of inctallal-ion of thc imp:ovement hcreto applicd for, and <br /> . � fur[her agrces Co removc same upon notice iror� thc City to and [o re- <br /> place all public rrrperty damaged thereby. . `�� <br /> VALUE: ��O •� <br /> -1��� ����� CIRCUITS: NU�J`� <br /> FEE: ' <br /> i � ELECTRIG'J.: � ' <br /> . .� � i <br /> TOTAL F£ES: ' <br /> ___ '`��Toe�.l ____-� _ _� -- --�� <br /> yA�a� <br /> • �..Nt3U��c � ' .� <br /> . . . � �lD�o I � <br /> "� � . <br /> � � ---- - <br /> ��— - ��. . __:75��_�'-N.Wi� <br /> � _—� .� — ---t— ' _ - <br /> . i�'�-- . �j/Lofr4UJ(+-� 1 ( — Z Z�z��. <br /> . ' . . ��7EQrlfitS y � <br /> M �IC�� ��- CA � • �lL ATtr�UlMb+�7570 <br /> . � ,� _ �11G2Gr�. �.oU�31.D� <br /> �k4 7�+ y�-� GiGs � <br /> ��1��`��v2"7L!' C--KPA�o,�� .s�kl �,�5 <br /> • sicxen .. . . � owNsr. �N �� ��� GA��� <br /> • . ' . . ,�. .. . . �,. ���� � • � y <br /> corr�r.ncTon � . � . � L• IR�.v '�x2x2 ti <br /> . Licsnse no. ' '�, ,G,. �'�,�z . ----- <br /> � ���� �;�� ��� � � � ' <br /> ��w.___. �. <br />