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' SUI3MIT I:VII)I:NCi�' 1'IIAT �QUIP\-1L:N'� / �� 9 � <br /> •COMPLIL•'S �VITII T1lIs S'1'ANDARUS Ol� � <br /> TiIL•' UNDE12WR1TLR5' LAIIOI2ATORY. �/�9/�� <br /> INSPEGTION OI' SIGN REQUI12Ell <br /> 13EI'ORT ER�CTION, <br /> GALL 259-5745 I'OR I\'SPIJGTIU\. <br /> Date �—l1-7t�- <br /> APPLIGATIO\` 1�OR $/lC,k Uf' �,{►ST'i NG- 5 i� N f}T 17D�-73RUti�f lJ` h� <br /> � ►-o� 39 - t3�vctc� 3s1- Pt-�r o� cvF�e� Qrv� ni <br /> • The undcrsigned owner hereby agrees Co hold and save harmless the City <br /> of �verett from any and all claims tor damages that may arise Uecausc of <br /> installation of the improvement hcrcYo applicd for, and further agrees to <br /> remove satrre upon notice from ihe City and to replace all puUlic property <br /> dama�ed thereby. <br /> V A L U E: �f' �.,,� <br /> GII2CUIT5: f [�, �.,..�- t�. Qut�e'�S <br /> �7� AVE /YF%!'.: fY%sT, <br /> � <br /> J <br /> - - � � <br /> � N 3 <br /> a <br /> � <br /> 0 <br /> � <br /> G�1 <br /> PRDpOSE TO PU� Cx15YiNG' S(�N <br /> T�-� �s- N• r�+ c� Nw oN <br /> �: ,� is'� �a�. .S�6N <br /> Si6n�� �aS��-'V � Kfe�s�v� � �/0—�- / Owiier <br /> i�nAtr v �- 1.� f C � <c ✓� Contractor <br /> 1/ 'J�'%ar�Lccf? <br /> ��, (��iE��2:�/ Q��lv-� <br /> � Gfi/' c�a� S�i67r� <br /> ;/ W �' �,L�:4.2,� � ' /(0 7`1 <br /> � <br />