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a <br />G �' �� <br />Si3B�:iIT EVID?;\C� TN_4T EQULT'�4ENT / � / <br />CO�!PL'F� 1'; ITIi 1'�rE ST':�\DAP.DS OF /d/o7d/7>� <br />'1'ii.T'�. UNDER�'rP.ITF_RS' LABORATORY. ' <br />L:SDECT1Cti O�� SIGN REQUIRED � ' � , <br />EEFORE ERECTION. ' • • <br />• GALL 259-8 i�15 FOR L�iSPECTION. <br />• .I Datc �o -��1--)j <br />� `��'-Y u,wav Rq �, <br />APPLICATION FOR ��z„v- =-I— �► i..r,a-i r_� r.�. �J 2� �`� �r <br />� � S l��li S ��L PL�iJ ��l L�t>, <br />The un�lersiGned o�vue- nereby aerees to hold and save ha:mless the Citv <br />of Everett from any anu all claims ior damaoes that msy arise because oE <br />• installa:ion oi the imrrove:nent her�to appiied for, ar.d furtiler z�rees to <br />remo�•e szme upon no:ice irom fne City and to replace ail public property <br />damaged tl�ereby. . <br />, � , VALUE: �1��y3o'"= �� <br />. - " � ,Otr <br />� . CIRCUITS: 3 �-- <br />� . . . ' � � � �BG+r <br />- \ . ' \ � <br />• , . • . . - , / \ � • � . <br />. . . . . . . . . . . . . _ _ . .. \ � � .'� � . . <br />� � V� ' <br />.. . . . � , .� '. . / � . . \� <br />. � , •: \ ,. . . � . <br />/ : .- .. � � � . <br />• �. • j . <br />� . \ � T>/F S 1 c_ r._.1 . <br />\ . / � <br />�rt�i��� ' ' (h <br />S 1 s-N � �` <br />�'� . • . ..1 .. <br />: � �r , <br />� <br />� l . - : a t, <br />� . .... � /\ <br />, <br />Signed <br />C% ' <br />�. %-��� <br />�..v' . , ,.i, (' i <br />;�� � f��`� f-- <br />S <br />Owner <br />.���-At�r- 1��SPcAY51 Contractor <br />90 8 A �o ��l-� St- - Sti! A.ri-t.� . <br />Z8'� —O-Lz-o (a� �G.7� 3� <br />�' \ <br />