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_ _ _� <br /> 1 <br /> 1 <br /> , . . _ <br /> . SIGI� PERMIT APPLICATION � .� 3 y" �6 ' <br /> � S� � . <br /> SUIII4IT EVIDEiQCE TIIA'I .EnUZPAfENT <br /> COMPLIES WITH ^111E STAi�DARDS OP �%/r <br /> T�17 lil PROVED TCSTING LI�IIORATORY. <br /> I2'SPECTIOP� OP SIGN REQUIRED <br /> BEFOI2E ERCCTIOIv. ' <br /> ChLL 259-8795 POR INSPECTION. <br /> Applicatio�i Date •�: aC <br /> ADDRESS ,�.J / �j 17�i���i,i�it , <br /> The undersigned o�oner hereby agrees to hold and save harmless the <br /> City of L•'verett from any and all claiMs for damages that may arise <br /> because of installation of- the improvement hereto applied for,. and <br /> further agrees to remove same upon notice from the City and to re- <br /> place all public property dar�aged thereby. _ 1� �� <br /> ' VALUE: ����n-1ia-„ - �a,vF Gc./��i.c� <br /> CIRCUITS: / <br /> .. ' I'E�: �- O O <br /> ' - ' �L�CTRICI�L: � ��� <br /> TOTI�I, I�EES : ��_ "� <br /> � <br /> I� 4� r <br /> q' I <br /> I ' <br /> � � eor a.-k�K¢ . <br /> /) 2ca <br /> : • � <br /> � /�� � � <br /> ;� /o� �• ?6 V�4� -�l .��QG�.G�..- �ol�lz� � � <br /> � e�.K. K. e. io/e/7b � <br /> ��C � � <br /> ` $.1 I1CC� � / 1 <br /> ��: 9 _��1�jL.�irsdlc.lr.r� � lli.�{� Owner i <br /> � Contractor -s�`=—'� - �/ tE �/nlis — �����,� — j000 � � <br /> 1 <br /> �� License No. l/ ��� Z � � <br /> � � <br /> .. � <br />