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� <br /> SIGK PERMIT APPLICATION ' ' <br /> SUSMIT �V..TDENCL THAT EQUIPMENT ' <br /> C0I4PLII:S Y.'ITH TIiE STANDARDS OF � • �t ' <br /> AN APPY.OV3D T�STING L1IBORATORY. � � <br /> .'i i <br /> IA'SPECTSON OF SIGN REQUIRED �� ' <br /> BEFORE ERECTION. <br /> CALL 259-8745 FOR INSL'ECTION. <br /> Application Date �y�/z!L /`f�' /�79 <br /> ADDRESS Z't'� 1.71L0�19LJ/kr ( CCX7G6�/' LG� . <br /> i The undersigned owner hereby agrees to hold and save harmless the <br /> City of Ever.ett from any and all clair�s fer 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 damaged thereby. � <br /> I <br /> � � VALUE: ��Pcn� o0 <br /> � . <br /> � CIRCUITS: 2 � � <br /> . . . �. . : , I <br /> ' ., •-: • ' _ I'EE: . I <br /> � '. � ELECTSICAL: " <br /> TOTAL�FEES: ' <br /> . — '� , <br /> �'.L-�GT C2� t>/F E(..IEGT . S�c ti � . . <br /> T�1�t. G�L-A-� ' Ff ��/� ' � ` <br /> . ,•A � <br /> � � . . � <br /> . ;. � <br /> ' . • • ,� <br /> . . . . . . . '. . . 'e <br /> / . . ,� . <br /> ������-(�_ �2�79 <br /> Signed _ �t/, � .� �1Uir�•i4fLT� � Owner <br /> �Contracte�r ' 'Z-vs�3� • .�-ii.T' = P.n. r3ox C-14oi*�- S�n-rre� l - �- <br /> r�z-��`F <br /> License No. Z-� v G � I <br />,I --_ .��/. �'`T/��- -�. � . ' � <br /> •, )f *%v/ <br /> 1 <br />