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SIGN PERMIT APPLICATION <br /> SUBMIT EVIDENCE Tf41T EQUIPME�T , <br /> COPiPLIES {:ITII THE S'CANDARDS OF <br /> AN APPROVED TESTING LA60RATORY <br /> INSPECTION OF SIGN REQUIRED <br /> BEFORE ERECTION. � <br /> CALL 259-8745 FOR INSPECfIUN. <br /> v 7 <br /> APPLICATZON DATE _ ��!ti4 _ ��, �C4 <br /> ADDRESS ���J �aL�� <br /> The undersi�ned owner.hereby a�rees to hold and save harmless tl�e <br /> Ci[j� of Everett from any and all clai�as for dama�es that muy arise <br /> because of installation of the improvement heretc� applied for, and <br /> further agrees to remove sane upon no[ice from thc City to nnd to re- <br /> place all public ��:uperty damaged thereby. <br /> VALUE: �1�- �/� <br /> ' <br /> CI(iCUITS: <br /> FEE: <br /> • $L£CTRICAL: � <br /> . TOTAL FCES: <br /> i <br /> � /�i / <br /> SIGNED -�.1��9'1t�L1- , OtdNER <br /> corrrRncroR S�E1/� ��C�iYyIG'/i/�� <br /> . LiceNse No. � �",� � �5T - C�— a3G�/ � <br /> �. <br /> � � � v <br /> s�s��a:�, � ���-- - : <br /> _ %_n.. <br />