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• • SIGN ^fiRMIT APPLICATION . ' � � <br /> i <br /> SUBtdIT EVID�NC� THAT EQUIPMENT ' <br /> COMPLIES WITH I'HE STI�NDARDS OF • . . <br /> AN APPi20V�D T�STING LABORATORY. <br /> INSPTCTTON OP SIGN REQUIRED . <br /> BEFOIt� �R�CTION. <br /> CALL 259-8745 POR INSPECTION. ` <br /> Application Date __����✓�/ �� <br /> �` <br /> ADDR�SS `7*/�lC� � ��l/���/'/��N' ./q/ .Ll� /3�_ = <br /> T}ie undersigned owner hereby agrees i:o hol. and save harmless the <br /> City of Everett from any and all claims for damages that may arise ; <br /> because of .insi:allation of the improvement hereto app?_ied for, and <br /> further agrees to remove same upon notice from the. C`_tv and to re- <br /> place all� public property damaged ihereby. � <br /> / , <br /> �J i <br /> � . ' VnLU�: .,/�/� ` ; <br /> . ; <br /> , . . . . . . . CIRCUITS: ` � <br /> . . �. _ 4I <br /> ' .: ,.' . ' ... F��: -�-� � �, �' <br /> � ' _ . ' : EL�CTRICAL:. G.� , �-� .. . I <br /> . TOTPS,.•F�ES : I i� , `��' . � <br /> . � <br /> . , , . ' � <br /> ' � �"� . <br /> �,� . <br /> � � (, z7- 2� -. <br /> . � . . ; <br /> � � �� <br /> . V . ��� '���i_�'�� ' . f/-''` <br /> •. . • �. . ���7.1 Z�C', -, <br /> � <br /> Signed ��--�.-.c� �i�X y7`�%��i-`- Otaner <br /> Contractor ��'.S'. �'�G� :�:r� . /�/�C� SC�_. /,%t-�' /i� �/",�;'1/�- <br /> License No. ����J t7 <br /> � S�L-r ���,�,�,�, �C'�y�_ ,.���% ) . � . �.. <br />