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, . . ". i <br /> ; - . SIGN PERbtIT APPLICATION ' I <br /> , : <br /> I <br /> SUBMIT EVID�NCE THAT EQUIPAIFNT <br /> COMPLIES Y7ZTIi TIIG STANDARDS OF <br /> A17 APPROVED TGSTING I,r1DORl;ORY. <br /> I1iSPECTION OF SIGiQ REQUI�ED <br /> BEFORE ERECTION. ' <br /> CALL 259-8745 POR I115PFC^IO". <br /> Application Date ��� �' 1 ' , 1 " <br /> ADDRESS 17:, 1 -" � , � � <br /> The undersigned owner hereby agrees to hold and save harmles:� tlic <br /> � City of Everett from any and all clains for damages that may arise <br /> because of installation oi the improvement hereto applied for, and <br /> further agree ; to remove s�me unon notice from the Cit}• and to re- <br /> place all puu':ic propert}� danaged thereby. ; <br /> _ VALUE: I <br /> CIRCUITS: � � <br /> , EEE: � �- �J <br /> � FLI:CTRICAL: S .OU <br /> TOTI�L FL;I'S : 2�j -� <br /> � � . Z? ��..� <br /> � , (� <br /> F�n-nisL �nc inst . ' ; <br /> Dc•si�7n Print� , <br /> ') . iL . - tL . c . l /v �� 7 <br /> n �.. _""' ' <br /> b �-�(nl-�-, <br /> h , <br /> � <br /> ^'� \1 <br /> \l <br /> � <br /> V � <br /> �� ) <br /> C�' Signed �/ C�- Owncr. <br /> 1,� , <br /> � Cbntractor SI!�G- SI�' ., <br /> � <br /> � License No. � �-�'� `� � <br /> c <br />