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• . <br /> � - <br /> � <br /> , , .SICN P�tHIT APPLIG�TION . <br /> ' SUBHIT EVIDC17Cti TIIAT EQUIPIlENt . <br /> . COMPLIGS NIT(l TIIC 5'fAtIDARDS OF • � . <br /> AN APMtOVGD TESTII,G LIBORATORY ' , <br /> IHSPEC[ION OF SIGN RfiQUIRGD � • „ <br /> � EEFORE CREC'fION. • ' � , � <br /> CALL Z59-A745 POR INSPECTION. • <br /> APPLICATION Dt.TE !C�' (O � �� <br /> . � <br /> ADDRESS J��/ — ��'A h/i9 - ' <br /> She undersiyned owner•hereby agrecs to hold and save harmless the <br /> . City of Evcre[t from any and all elaios for dac.agea that may arisc . <br /> � beeause of installation of the improvement hcreto applied for. and • <br /> . : . � further agrees to remove same upon notice �from the Ci[y to and [o re- <br /> . plaee all public property damaged thcreby. . � . <br /> .. . VAIAE: . �'�, d`�i . . <br /> CIItCUI2S: 1 ' ' <br /> . • FEE: S ` @'C� <br /> • • ELECfRIGL: �I� �� � <br /> . ' • TOTAL FEES: � O ' � . • <br /> ' . . ' 1 <br />'`I1 . ' ' • • ' : • :. • • ' . ' <br /> 1 . . • ' . . . . • <br /> . . • . <br /> . . ' _ . . . , , <br /> . � • ' <br /> . , • , • , . <br /> a � SICNED �� ,'�idE ��T-,E ' ¢iHER �� ' . � <br /> coxrnncror. �OR'TNkiEsf �l��fJ L�l.,�riit/�/� ,��'��� ,�,-�.�. . <br /> � • ' bICENSE N0. �C��T i�,t/ fn.�c s�oy � � /�- c�?��� L� ' . , � <br /> ' -f 8 <br /> � •�—��Y�� _c��✓�J . � � . . <br /> • ' r f <br />