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�1G:; )�i;l?!t7�� iil l'7,Ir;,�il.G:: ' � <br /> :i'�;;;IT LVIDi;,.C� TIIAT ];QUIP1iENT � <br /> CO':P7�7P•,; �•;ITlI ?I1F STA17DnR1)S OP • <br /> l+ti T�2'PItUVED 'lI:SI'It�G Lnt�CI?A7'OIt;'. <br /> I1�;P�CT701� OIP SIGN REQU7R3iD <br /> EE'r'URP 1:1tFCTIOI�. <br /> G,LL 759-8745 1'OR I1�SPECTIO2J. <br /> � ---7 <br /> , Applicatiar, 1)ate /�,,.,. ,� /7�. // / � <br /> AnUREss � � 5 .� . • Lrc�r�c� a.:�1-�T_�. � . <br /> The iindersigned oo�ner her.eby ayrees to hold and save harmle�s the <br /> City of };verett from any and all clai��s fo�- damage� that may arise <br /> bcc�usc of .installation of the improvement- hereto applied for. , and <br /> f.Lrther. a9rees to r.emovc same upon notice from the City and to rc- <br /> pl�ce all public pr.operty dar�aged thereby <br /> - . � � • VALUP,: �� l�� D __�_ <br /> , . . , . . . . . .: CIP.CUITS: <br /> , . . �.' — <br /> ' � � c . ' ' }PEE: �'2 . V C' - <br /> • TLTCTI:ICAL: , . <br /> TOTA7..�I'I:lia : �Z '��' , <br /> • . . . . .. , <br /> . � . � . . ' � � . -. . ,. .. I <br /> � �= 77 ' ��. � ' , i <br /> �� . . � I <br /> � . , . <br /> � - ��� �i _ � �. ��:�� :��. . : . : . <br /> r , <br /> � ...�( (�.;,��,� . ,q� `��i� . • . . _ <br /> � d�l � . <br /> �� . � � . ' <br /> �;; � � . � <br /> ,� . <br /> � SSCJI78(1 �C,�L�. ' .�... �� .. . ' . . <br /> - Ol+�I1C1 <br /> �j�� Contractor ��.- Y' ' ��ic,i:r._�,�,.-a.�)c'��� s (!�` —S � '. �. <br /> ti,� �-- . <br /> License I�o. <br /> \ • ----- - --.-- f <br /> . ,� • <br /> , <br />