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�t ] <br /> • SIGt4 PERMIT APPLICATION . <br /> SULI4IT EVIDENCG TIiAT .��UIPP7ENT ' <br /> C019PLIES S9ITIl Tii� STANDARDS OP � <br /> Rt7 APPRQVED T�STING LAllORATORY. <br /> II�SPECTIOt9 OI' SIGN REQUIRED � <br /> LEFORE ERECTION. • <br /> CALL 259-f3745 POR INSPLCTION. <br /> Application' Date $- � (a - 7 7 I <br /> nDD�ss 3208 �l2o�3DWA ��p /Zc1 quro �pAi2 ' <br /> The undersigned owner hereby agrees to hold and save harmless the <br /> • City of Everett from any and all clains for damages t-hat may arise � <br /> because of installation of the improvement hereto applicd for, and <br /> furt-her agrees to remove same upon notice £rom the City and to re- <br /> place all public property da��aged thereby. , <br /> �`rS �v" � <br /> . . VALUE: , <br /> i <br /> CIRCUITS: ON� <br /> ' y: GVY �NIRF FEE: (p . B C� <br /> � . UPLIF't'S <br /> > ' . � .RICAL: �� � � <br /> TOT71L PEES: �I� �� <br /> Uo��LE /� X /z S/G ^� .�'/2AME �ocTEp <br /> � L /Ro.v .cC�7M E' ro . <br /> ST[icco w,a �L <br /> � P LA s r/c F�9G� (v/T N � k 3 1�'� LAG L-70� TS <br /> �M in�A r C,O Y <br /> , �"O � EAD SN/NLps <br /> ��--+ � <br /> �y , . I <br /> �1 . gc�. <br /> >; � <br /> (� � _ _ S/G�v _ P C', ;,. <br /> � . \ GR2Abt.= DOO� . 5�r�_rcvq�,t <br /> �` . � 3.2o,�n wAS� <br /> , ' <br /> ; . � <br /> •, � .i� , <br /> r� • <br /> �� ��y-� � , � � � I <br /> " r. <br /> . <br /> � Signed /5 L`�������G�,- /�.� N/ .��wner � <br /> �"`� i <br /> �;� Contractor _3C,Q,E'Y• i'�/P'oit/ CO" >/Oz 7 -(, /S`'�.v L f�n.�yWOe�j `� � <br /> ��� License No. E'SO � <br /> I <br />