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• • • •_SICN Y'C•liPfIT APPLICATIDti <br /> - ' SllEMIT GVIDCt7CG TIIAT CQUIPt1ENf <br /> . CO;fPLIES 47IT11 TIiC STAtIDA8D5• OF � <br /> AN APPROVED T£STIt�C LA60RATORY • . • ' <br /> It7SPECTI0;1 OF SIGt� REQUIRED � <br /> DEFORF. L•'RECTIOIJ. , , , � • , •• <br /> C L 259-8745 FOR It7SPECTION. . ' <br /> � �ilP6c7 �,4-p�� �;,�. � • �. � . <br /> ����� `��' / APPLICATI0:7 DATE <br /> ADDRESS 1�! � �fl�Qi�/.Y�lv G��Ui�/L— • <br /> . . The undersiEned owner•hereby agrecs to hold and save harmless the <br /> , . Cit}% of Everett from any and all clains for darages that �aay arise <br /> � . because of in�tallation of the improvement liereto applied for, and • <br /> • • . further agrees to remove same upon notice 'from [he C3ty to and to te- <br /> � ' place a11 public preperty damaged [herebp, <br /> � , • vat:ue: ��iPOD� �� . <br /> • CIRCUITS: � ����G'J/l/� <br /> . . a <br /> � ' ' ' FF.E: � _- <br /> � r EEECTRIGIL: ' �6�-- <br /> X �! �- <br /> I�� .,� —yI • :TOTAL FEES: �� • , . <br /> T . � �j , . / �;I. �/;j' <br /> • t� ' �%.. � . . . . <br /> ,\ ' . / _ , . . . - . . <br /> I - • . . I _'_ . , .. ,� . . <br /> � • . . • • • - 171W�� . <br /> � �20�v'f EiEV, (��t�� � . ' <br /> ^ . . . �-- �$F�,wti� u��kc. <br /> , � � <br /> • � . - . <br /> ro . � �. (%',2�,��GL 2�7C-��.�s -�-i°/1�c1��/CD ��L/ :. <br /> Q. . , : <br /> • � ,�GL L �!/�o�/ ����'/j�X�% . . `���3-7��•,�� • <br /> � 3 lL �� --� ,� �'9/Lv'1s" - . - • � , <br /> .�cc r�irs', �,y,� ��s � ��� � �,v7� � �!o<sr<S a 1!n ±� , <br /> s . � . . - . . � � �� � � , � <br /> �v • �q.� � ' . cFP 2•7 1978 ' ' <br /> • SICNED U v � ..��' � • I <br /> ��� , aaNEa �, �'TY OF E�JEi'"TT� <br /> corrrRncror, . �,fJ�/��t r 5i� C�► GCCG �l�G'�� � 'nsRectiore. D�at. � <br /> �• ' LICENSE N0. ' G�� . � ` . <br /> ! ���� <br /> 1� , � • � <br /> ��� • ' . <br /> 1\ � . • • . <br />