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I <br />� <br />( <br />� <br />; , ' .SIGN PL•R24IT APPLICATION <br />� SUEMIT EVIDCtiCE TIiAT EQUIPMENC <br /> , CO�II'LIES UITH THE STANDARDS OF • <br /> A17 APPROI'ED TESTIKG LABORATORY <br /> INSPECTION OF SIGti REQUIRED " • <br /> BEPOP.E ERECTION. � <br /> CALL 259•8?45 FOR ItdSPECTION. — <br /> �L ��+'//f NGf�L� /�!/f(//IffjL�AYPLTCATION bATE �/ vNE% �L���],V <br /> ADDRESS ?��C' F/�"��Rv�� - <br /> � <br /> The undersigned owner• hereby agrecs to hold and save harmless the <br /> Ci[y of Everett irom any and all claios for damages [hat may arise <br /> because of installation of the Snprovement hereto applied for, and <br /> � , . fur[her agrees to remove same upon notice fro� the C3ty to and to re- <br /> :`� . ; place all public preperty damaged thercby. <br /> ,� _ � . . ��_ <br /> r� .. VALUE: <br /> '9i°r��_ �':. � <br /> CIgCUITS: <br /> ��; ' <br /> FEE: <br /> Y"F1 � ' . . , � <br /> ,^ • ;��ij� ELECTRICAL: . <br /> I �' / <br /> TOTAL FEES: <br /> � s' � <br />, � �' �� I WS�r.%Gc-R- <br /> ' �XL�' <br /> ':". :-.:.,:.�,—� _ . . _ --- � <br /> ' I' I • ; r—.r •• � �X8 IE�s Si�,-+v <br /> �, I� � aK s�N-o-u�� <br /> q � , , , _ � <br /> � X 3 xS� t�toc� � � • <br />� � S �— —�---� � i�F <br /> ^� . � U I . L � I N � , <br /> � I �-�-----�--� .-.�� <br /> � , <br /> �' Cv�,�3� �.� 1l0�� i . , �u�o <br /> � 8� j ��� � � i <br /> \ � n o p,: fn �v �,.c,� I l'�I•:�! � � I <br /> �� �� <br /> , yJ � . � <br /> � ��_/��,- � �.��- � �__ � <br /> \\ • SIGNED OWNER �C 1 <br /> \`' <br /> ' C�ic�2E7> S<� C4• ✓� ' cy Rrr: �r r n , . <br /> �,�`L coc�rancron . . �//������/ � ly �"� ;'"• I� ti� ,:. i �/ <br /> ��• LICCNSE N0. � <br /> �•, �, �(Y-�� � � , Jl�i� 19 1978 . <br /> `�•- ti,�2.��� CITY 0� c'�/�R�T7 <br /> ' I' r .. .;it. I <br /> I <br /> I� <br />