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_ - - - - -�-. . .
<br /> _ . SIGN PERMIT APPLICA'PIOh' . //� r i/» . ' �
<br /> ' SUBI4IT EVIDENCE TTIAT EQOTP!•1�NT ' S/o 3�� 1 �
<br /> C0:4PLI�S WITII i IIE ST11ND11RDS OF � ��Zj '"�"'"` �"��
<br /> . AN APPROVED T�STING �BORIITORY, `��� /�'F'/L� ILLv�tq/�j�.J� S�
<br /> � INSPECTION OF SIGN ItEQUIItED � �/'��` �/`-'� =
<br /> $EFOI2� fiRECTION. •
<br /> . . . CAI,L 259-87Q5 FOR INSPECTION. ' '
<br /> � ��. . ,
<br /> � .
<br /> • . pplicaL•ion Date ��'"l� 7� -
<br /> �-�p� . .:. . . . -
<br /> . _--- _ _ - -
<br /> AnDru:ss .� . . �.r��;.��.�/: ��//,�t� ^ , ..
<br /> � . The undersigned owner hereby agrees to hold and save harmless the
<br /> City of Everett from any and all clair�s ior damages that may arise
<br /> because of installation of the improvement hereto applied for, and
<br /> further aqrees to remove same uoon notice from the City and to re-
<br /> placa all� public property damaged thereby.
<br /> . . . . . . • � : • VALUE: ����O f °` • . . , � �
<br /> . • . ---/—� � .. �
<br /> ' . � ..:\,�. . . . . : CIRCUITS: � N,���r ., ;
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<br /> • `'. •-;' :-' ' . �FEE: (�o.:BO�� DeA�-�F3t,��
<br /> i -u-. ' . . '.: • . , -�^'T?�-�F'rLr�.�-an��
<br /> . . .
<br /> �L r, . . .
<br /> f�+---.-f=l� rlJ,.I�C:7�.��;. .,, ';''. •. : ELEC:RICAL: . . . �. 4.�a�o�a.'r O.�'Mt*
<br /> • . ' ' , '• ' . TOTI�L,:FEES: �, C4 u .. I
<br /> . . • - : . ��. .�a �. � .� �. .
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<br /> 11 Signed ' . . •. . •- •. .'. �/� �... ''J � � ? t-Gib i
<br /> G - , � �, >- ���/� �
<br /> � . . . . .' . � i� (, . /l�ACll�72i�' Owner /`��� � '
<br /> '� Contractor . . . , . . • , , i
<br /> �\ ' . . . , ,., Fv- r- ��n,i rn�aPFlNY • �' '
<br /> u �
<br /> y, Li.cense No. ; f�L�� 2200 HEV✓ITT �;;. �;<�.q,l -, . ' . . . �
<br /> �°' I
<br /> 'v nirc i ra r 71 ' .
<br /> . . ' . . ' 1 , , � • ' � ,
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