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. <br />0 <br />0 <br />.SICN PL•�"'iT ACPLICATIOt� <br />SUCHII CVIDLt7CC TIIAT LQUIPIfENT <br />, CODSPT.iGS WITII TIIE �TAtIDf.ftDS OF <br />AN APPROVCD TESTII�G LAOOMT�JRY <br />IIISPECTIQ� OF SICN REQUIRED <br />BEFORB L•'RF.CTI017. <br />GILL �,59-8145 1'OR ItiSPECTION. <br />APPLICATIO� D1.TE 9�3>- �iJ <br />ADDR@SS O �� i�w 99 <br />Thn undersiEned owner•hereby egrees to hold and save harmless [he <br />. City af 6vcrett from any and all clains for damages that may arisc <br />•because of in�tallntion of thc Lmprovement hcreto applied for, and <br />fuTti�er agrees to remove same upon notice fror� the City to and to re- <br />• Plaee all public proper[y damaged [hcreby. , <br />.. , . VAL1)E: oZS00' �� <br />� <br />,�RFco <br />CIRCUI'IS: DNE ' <br />FEE: <br />E—� e�.ecrxic.u.: <br />' SOTAL FEES: — <br />. MA/�/ 3�lop,oiNG C6�c/TG'IZ <br />N W S/ <br />. , � �. <br />v°� � '.�^ <br />oh . �v <br />o k �� <br />a <br />� _� <br />a- <br />� <br />2 <br />Y <br />9 <br />0 <br />n <br />�,.,co� � ? fe.nG,.�.oC_ -- ,qG�.vr <br />• SICNED �iC,4 9+►� /`>�-..�-��'er� QIiNER <br />CONIMCfOR �,� _'" , "�''/• /n�C . <br />LICENSE N0. , NE -�T %fi�% s� ���% -�� <br />. <br />• � . <br />� <br />% <br />: -t <br />