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. _ , . <br /> � . . <br /> . SIGN PERDIIT APPLICATION � , <br /> SUBt4IT EVIDI3NC� T?11�T .r�UIPPIENT � <br /> COI4PLIES WIT}1 -rt►r STANllARDS OP <br /> AH APPROVPD T�STItdG LABOI2ATORY. <br /> ItiSPECTIO,] OP' SIGN REQUIFtED <br /> BEPORE LRECTION. • ' <br /> CALL 259-8795 I'OR INSP�CTION. <br /> ?+pplicatiori Date �a,. ��� � ��� <br /> ADDItESS 4829 Evdrqreen Way� Everett. Wash . <br /> The undersigned o�aner hereby agrees to hold and save hannless tlie <br /> . City of L•'verett from any and all claims for damages ihat may arise <br /> because of installation of the impr.ovement hereto applied for, . and <br /> further agrees to remove same upon notice from tlie City and to re- <br /> place a11 puUlic property dar�aged thereby. .. <br /> � VALU�: $150.00 <br /> � CIRCUITS: One <br /> � .. � r��: <br /> '. ' ELECTRICI�L: <br /> TOTAL F�ES�: <br /> i <br /> , . � <br /> � / 1�j� � <br /> f�- C , r • <br /> . i <br /> � o , �'�� !i1 � . J� <br /> l I <br /> � <br /> Signed Howard Moore Insurance Ow�1cr � <br /> Contractor ' Simco 'Sign Co•. l�nd, Box 68 Everett,LJash. ' I <br /> License No. 223-01 --C272P3 i <br /> E' i <br />