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SIGN PERMIT APPLICATION <br /> SUIiN,IT EVIDENCE TFIAT EQllIP*SLI�T <br /> COKPLIfS l,'I:'ll T1iE STAND:iRDS OF <br /> AN APPF,OVEll TESTING L4BOitATOi.Y <br /> INSPECTION OF SIGN REQUIRSD <br /> BEFORE ERECTION. <br /> CALL 259-8745 F03 I175PFCTI01:. <br /> APPLICATIOv DATE ��4'.tl '�O, /6f7(�-' <br /> ADDRESS 2 '�17 la' rz.c�an,�_� i4�( <br /> The undersigned owner.hereby agrecs to hold and save harmless the <br /> City of Evcrett from anv and all clains for damages that may arisc <br /> becausc of installation of [he improvement hcreto applied for, and <br /> furthcr a&rees to removc same upon noCice from [hc City to end to re- <br /> pl�ec all pnbl.i.<•. p�cperty damaged thereby. <br /> VALUE: �/�� "'�� <br /> CIRCUITS: � <br /> FEE: �i ` ��' <br /> F.LECTRICAL: <br /> TOTAL FEF.S: <br /> ��E-LT 1�/� S�GcI�� O � <br /> �k�STi �C. t�t7�c-E � ��T� ��C� , <br /> P�� Pu�-,�. Fr���, , . <br /> � �- ��<< �:; <br /> � � ( -.3v - � � <br /> � %� � ��1� ��3F��7� <br /> SIGNED � � OF)NER <br /> corrrnncro� - vr- is c.�r � �� -�- S6z- �8 ��� <br /> r.rccxsr t�o. 7 `�Z � <br />