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SIGN PERMIT APPLICATION f/� �� � <br /> SUIIt4ZT EVIDENCE THAT EQUIPMENT /� / �� �` <br /> COi�IPLZES �9ITFI THE STANDARDS OF <br /> AId APPROV�D TESTING LI�BORATORY. ///C�/7� <br /> i i <br /> INSPECTION OF SIGN I2EnilIRED . <br /> DEFOR� ERECTION. <br /> CI+LL 259-8745 POR INSPECTION. <br /> Application Date I..�o� �-f i�i'�� <br /> � <br /> ADDRESS Z"t Z3 CD�-G i L�V� <br /> The undersigned o�oner hereby agrees to hold and save harmless the <br /> • City of �verett from any and all claims for damages that may arise <br /> because of installation of t-he improvement hereto applied for, and <br /> further agrees to remove same upon notice from the City and to re- <br /> place all public property damaged thereby. <br /> VALUE: '�7 Si�'= <br /> CIRCUITS: / <br /> ' FEE: [�. C� O <br /> ELECTRICAL: �� �`'� � <br /> TOTAL FEES: �� �� <br /> ( GrL�c_C.T S!F L'[�L�:.T. :a-lC�l-� 1-01L � <br /> t�n��v 5� inc+�. . � <br /> �i�uc o .�L, 1�,c . <br /> i i/ i-/ <br /> ,.. > /�/�/7c. <br /> • Signed � �v� �-1 - �' (T�i-s-.�i-.r� o�anm: <br /> T-- ' <br /> Contractor -rs�� F .o-,z `ni vua� , u� / �-eoo - c�z-2esµ-� <br /> License No. Z3�S� <br />