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% 9 �'%� �', <br /> SUBMIT �'�IDI:NC� TI-L�T �QUIPMGN'�' //���j� <br /> • COMPLIP�'S WlTII T1-IL STAiVDAKUS OL' , <br /> TI-IL UND�RWRiT�12S' LATSORATUI2Y. � ' <br /> II`'SP�CTION Or SIGN R�QUII2ED • <br /> B�FOR� �RECTION, <br /> GALL 259-8745 L'OR INSPECTION. <br /> Date /G� — ���/— �s <br /> APPLICATION I'OR 5/(�/V P�=�J��/7" 'vo�PT/� ./-,'Oti1�_s' �'Fq� r5' <br /> . =��.s - t=(/F,2G,2c.=,�-ni c:-r/�l S�' <br /> The undersigned owner hereby agrees to hold and ;ave harmless the City <br /> . of Everett £rom any and all cl•r.ims for damages that may arise because of <br /> installation of the improvement hereto applied for, and furCher agrees to <br /> remo•ie same upon notice trom the City and to replace all public property <br /> damaged thereby. <br /> ov C90 <br /> �— g —� VALUE: �d 00 � Q <br /> � . — �bCugLf- 1 r,zn'/,6 f'- <br /> �r •J � IL'on• r�iGAr.iB CIRCUITS: �=' � 'U` C) <br /> SAG P��Sr/c,=,�1« <br /> � k�ys iar.u.vun�Ar,Eu �07� �p e� <br /> � y„ <br /> /�/Pc <br /> WFLOE.?- '-:rFC <br /> ' STEEL ,2/NGS - +� <br /> , _� L�- _ <br /> � i' <br /> � ----�, _ - <br /> .� <br /> E�tZ'sr.� � E'xis r <br /> � G " s'Xio ' <br /> h ;�i�'F� si�� <br /> ;%'aT' <br /> �io�• <br /> �x�sT. -- <br /> � �o „ J�/f.?�i'`��. <br /> ` P/PE <1„?s`f, � <br /> h �r�.�. P. L. <br /> ' �� E�/C�c�.�:6�C.c/ u/.4 S� <br /> ,��-fIOE� <br /> Signed " O�vuer <br /> . , , <br /> ��'2,e Y /1/EUN C!D • � �U •'- 7' � ��'r �� L yi{�/(/• Contxactor <br /> �f/AS�/, 5. i= �°. L - �C-cS� <br /> F' <br /> � !%� . . . . . . � . . , <br /> a � c. o . i< . K . .c . io/ s�/� i'— � <br /> �. `� ' �'��� �o%/�� <br /> , <br />