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. SZGN PPRtdIT APPI,ICA7'ION � <br /> SUBI4IT EV7DliNCIi T!1AT )?nUIPMEIJT <br /> COl,PLIE; W77`Il TIIP S7'AI7DARD5 01' <br /> A17 APPROVI:D TCSTIIJG LAi30RA�ORY. <br /> I17SPECTJON OP SIGtd RI.iQUIRP•.D <br /> P.f:l'ORE ]iP,I:CI'ION. • <br /> G�I,L 259 -II745 I'OR INSPECTION. <br /> nPPlication Dat:c ,Jli�rg /�/� <br /> ADDI2rSS ,�j��j�Oht/Cc _ <br /> The undersignnd oamer he�-eby a9rce:; to hold and save harml.css t:hc <br /> Cit:y of P.vereLt. from any and nll cl.ai;i. for damaqes that mny ari�e <br /> bccause of installation of the improvemc�nt hcreto applied for, .,and <br /> further agrocs to remove same upon noti.ce f.rom the City and to rc- <br /> place all public property dar�<iged thereby. <br /> VALUP.: �o��i�•pO <br /> CIRCl11TS: � <br /> , rLc: <br /> rr�^c�r�ucnr,: <br /> �roTnL rrLs: <br /> - - - - - - fi - - <br /> I�—i z' - <br /> a <br /> __ . . . - � - - <br /> � � � _ � <br /> b'(" ' - � ' <br /> c:.. <br /> C/) L l • � <br /> i <br /> / J J I <br /> �],--�'1 / i <br /> Ck RtlL- <br /> I <br /> � <br /> - $1 I1Cf1 // � I <br /> 9 ��?tS �H�� � /,%i�✓o _ Owncr � <br /> Contracl:or � /G!, - �- � � �t � ic u,s ���• �ox �/� � c� 3�I <br /> �— �.--• y `�//ii!u�C�s , CcJit_��'J I <br /> -) � 5�.� � <br /> Licet c No. _L � ' <br /> . i i <br /> � <br /> � � � ��(�( ,,_ ���/7 � �,�Y�`��..,�- C�'�:�.,.' .�K�� ) , <br />