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SIGN PERPIIT APPLICATION <br /> SUBAfIT EVIDENCE THAi EQUIPME�Tf <br /> CO;fPLIES WITiI TIIE SfAP1DARD5 OP <br /> AN APPROVED TESTIi.G LABORATGRY <br /> , INSPECTION OF SIGN CtL•QUIRED <br /> BEFORG EEECfION. <br /> , CALL 259-3745 FOR It7SPECTION. <br /> APPLIGITION D:1TE �' �y ' 7 � <br /> ADDRESS ��� 3 F(/�.c 6%.' <' �" •, , �';; j <br /> � ,C'=4L T �j GG/V� Cic TN;+;- _, , <br /> The undcrsigned owner hereby agrees to hold and save harmle�s the <br /> Ci[y of F.verett from any and all claims for damaEes lliat may arise <br /> because of installation of the improvement hereto appkied For, and <br /> further agrees to remove same upon notice from the City to nnd to re- <br /> place all public l�auperty dam��ed thereby. <br /> 5'/�^� ; VALUE: ..9 / 6C -,°_ <br /> SGt/GLF_ /1 y, ' � L /i2c�/ <br /> F"�2RM r � iJs it s r/G CIRCUITS: �/l/�_ <br /> ��GI,' � /!� � ✓P/l /�";tl'f(,j �/ dG <br /> , FEE:. / <br /> . I J <br /> �- v <br /> ELECTRICAL: � <br /> .�'_ _ <br /> M � ' <br /> ` -_ r�`���� �8 _ . TOTAL FEES: - �� � <br /> ```` �� � <br /> �_, � <br /> �� `��y <br /> . . _ � r \ �=1 , <br /> ` .��� i . � .. � :, . <br /> � /zX/- .r X Li/2:�i <br /> ' � . • I `'�—_ ``� �B�cai,er �;u: ' <br /> �-- `=�—.;.-� l2cpFi36',n.n4 5 .co i�r� <br /> _�� _ I � ` . <br /> \ _- _ - __ �� �� k .f. r r. . ,� ;: , <br /> M _�--,_ • <br /> `'�, <br /> G¢,7,'1 . . ' � ... <br /> , / <br /> � <br /> , � 3�n�_�----... � . �Li���'����� <br /> I �� <br /> O , <br /> _..----'—"�--- ' �l z �/ 7 I: '/ <br /> .. � '�S�G.V ._._ .. � /'� <br /> � <br /> , i_i � _____ . � <br /> � ``�_ . <br /> __ , <br /> : EU�i1�. l�=-r",�i cc, ia�� <br /> SIGNED � <br /> � `,+ER <br /> � . , _ . .. , , .. <br /> l : <br /> • C01�`A'RACPOR L3���,a`� l� ,,V,:-i:;�, C � J�G�� . (_:' .;i � �; � !/?.; '-� `��r,- <br /> ' LICF.NSC N0. /-- 5—� <br /> � � • <br /> \� <br /> ,.. t: <br />