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.� <br /> I <br /> SIGN PERMIT 1�PPLICnTION � � ` ' <br /> ' SUIII3IT FVIDlii:Ci: ^tIIAT EQUIPIdENT � � . I <br /> CO:.PLI�S �•7ITl1 ?!:� STAt:DARDS OF • • <br /> ' . Ni APPROVED 'PESTIIdG L7IBORATORY. ; <br /> ' IHSPECTION OF SIGN REQUIRED � • � ', <br /> DEFORP•. �P.cCTIO?I. , , ' <br /> , . ChLL 259-"0745 FOR Zt�SPECTION. " � <br /> ' Application Date �/� / ��-Z <br /> . � rr c' <br /> ADDRESS p�� OC �/� �/" d c. d Gtr«.c../ . � <br /> . � <br /> The undersigned owner hereby agrees to hold and save harmless the <br /> City oi F•.verett from any and all clair�s for damages that may arise � <br /> because of installation of the improvement hereto applied for, and � <br /> further agrees to remove same upon notice £rom the City and to re- . <br /> place all public pro�ert-y dar�aged thereby. . I <br /> � � <br /> . . . , • ; ' . • VALUE: �j�'�' �', C ' , ' � � <br /> . � � . . . . . . . ,: CIRCUITS; . � <br /> ' � '�' � C: - ' i <br /> • ' .�=• ._ .. ' .. : FEE: I '2- � ' ' � <br /> - , .� . ; • . ::'': r ELECTRICnL: 1--=� . G�� I � <br /> . . � . TOTAT,.•F�ES: ��, C'� ' � <br /> . . . . . . . . , . ' , � <br /> . . . ,. . • • . . . II <br /> . . • . •. ..u• ��; IL I< •. • . <br /> � � . . '. . . . . .�� ;�i /. ; ' • ' <br /> : ' � . � � . • . . ��ct ?p�' � �� _ <br /> � ' � � - . .. - �' .. :. :: .. . .. _ . ,� <br /> ,� • , . . � '•� . . � . <br /> � . • . . .: . . . � ,: . , . . . , � � - :: <br /> , � , ,� <br /> ' � .. , � ..� ; ' . . • . , ' • � . � . . i . . . . ` , �e <br /> , . . . <br /> 'ry, .. ' " . .. , . . . . � •. . � . • .� � . . ' ' . . •• . <br /> � ' . � • . . i <br /> ' ' . . • • , . ' ' . <br /> \� Signed / ~� / � / Owner <br /> � � ' / .1���, `�' 1 � _s^�1 • _ . • � �, <br /> 1- Contr.actor f c�'E.`. . .•.��:� , �Cf T � , (�ZQ - 4z`�� ., • . '� ' <br /> 61 ; t^ <br /> ,� Li.cense No, ��l��G u �lj(�1� . I <br /> . . , „ i <br /> . •— <br />