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i . _ _ <br /> SIGN PERMIT APPLICATION ' ' • <br /> SUEt4IT EVZDENCE THAT EQUIPMENT � • <br /> I C0:4PLIE5 WITI; TIIE STANDARDS OF <br /> A2i APPROVED TESTING L7�BOFtATORY. <br /> IKSP�CTIOIJ OF SIGN REQUIRED <br /> BEFORE EF2ECTION. <br /> CALL 259-6745 YOR INSPLCTION. <br /> � ' - <br /> . Application Date � i �' - %riT <br /> ADDR�SS � � D � ' ��1 � r�) '.� ;" ) // r :' ��_ <br />' The undcrsigned owner hereby agrees to hold and save harmless the <br /> City of EveretL- from any and all clair�s for damages that: may ar9se <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 /> u�� . .. , place all� public Froperty dar�aged thereby. <br /> . VALU�: _ / L��C� c+--- <br /> CIRCUITS: _, l <br />' � � ,..� � FEE: ' <br /> . �� _ � I <br /> �'�\ �. ELECTRICAL: �/,.' �� <br /> TOTAL FEES: . I <br /> . T(�- �'�4�i ��( � � I <br /> � '�� � <br /> � , �; �� . <br />� � . <br /> � ; <br /> �� . . , . <br /> � . . , � <br /> , <br /> � / s /� <br /> �v ' • �2>�:W! . � - l � �' � ;11�G�, i f,G,�2�r_'_L�s-.- <br /> ,;_ �-.ry f <br /> f <br /> � . � . . .���C;�l%�,�- .7� z�.,�,- ` <br /> � � . �. �; , /, <br /> v . � f� � � r� � � <br /> p� - � � � ��� . , � <br /> � �u� 12 �9�s � <br /> �? - . <br /> �. CITY OF EVEREfT <br /> .: � - /' Inspection Dept. <br /> �,Y Si3ned � 1r• � J ,-• ' �'— ,�( �� � Owner <br /> ��,; Contractor �) F � � � <br /> . <br /> `', . License No. D �- <br /> i � � <br /> � . . . <br /> . ` F <br />