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SIGN PERDIIT APPLICATION <br /> SUBMII' EVIDE4CE TSIAT EQUIPt�1I:NC <br /> COMYL7ES {7ITIi THE STaNDARDS OI' <br /> ' AN APPcZOVED TESTI[iG L1BORITORY <br /> INSPECTION OF SIGN REQUIF.ED <br /> BEFORE ERECfION. <br /> CALL 259-8745 FOR II�SPECTION. <br /> APvL:CA1YUP' DATE _;"'rj nn�-,y� �. u "- ��� �.� , <br /> ADDRESS � I U $� F�/-�'V-�YYY� /c� . <br /> �i � <br /> ��T' - (j�O/; /} 'U'r-C fij�/r7 � i <br /> The undersi�ned oc.ner hereby agrecs to hold and save harmless the <br /> City ot Everett from any and all claims for damages that may arise <br /> because of installation of thc improvement hcreto appkicd for, and <br /> further agrees to remo��e same upon notice from [he City to nnd [o re- <br /> place all puUlic ��ioperty damaged thr_reby. ' <br /> � � _�� <br /> i r--j� <br /> 5 - � T.or �;�,�,�, VALUE: .%Y, �"�,� ��� `- ' <br /> ii - �.n - <br /> i � i Frivo�rd �/���h�cr�CIRCUITS: •� <br /> ;6/ �, .--� Frn��r� DovG-l� <br /> . �o �� �' . � ! �/�X 3o66(i �crs FEE:. �_J - L'� �:+ . <br /> � �i�C ��� j TM�'-tvi�<r : (LUi�i;l/nt�l' . <br /> I '' ELECTRICAL: �� `' �-' <br /> 6�' � <br /> - .���"t ---+ -� TOTAL FEES: - . � ��_ c�[� • <br /> Cl �Sohs;i= . J1 - — - _ <br /> �1lGaNp� � , i, . �O llOM SiL�li i ' . <br /> �° ' ' <br /> P'0� ' � �, <br /> q�,d ihtoi. � 6 i a � bou���� 2h 2 Y 3�L , <br /> � �� N 1 I N.� <br /> I �VN�c�' . . .� I!^Ai �Ynn.• ! " . ..- �- . . _ � ` _ ' � . . <br /> � n_.,��i� T�Y� -:�•„�,, ,.�. 't , �' � -T' � <br /> �� , fio s��„ —___ i � I ..�, • . . . <br /> . <br /> i�r„��e � _ � n , � �� <br /> �I .�(I�N,I-1,- <br /> �� q � . • � I � <br /> � � �� y� 6�1=.,:g� . � ��" � , <br /> r, Q r _ � - <br /> : <br /> �` �'; {7 I , n��l�w9<rn'-�� L �� � �. � ) <br /> P . 1 • , �. � -� �. <br /> n I' .r, t, �;�;,,, i . c � ' : <br /> �� I � I � � <br /> �l .� _I � � � � �in rlf� � • '�L <br /> ��. <br /> � Ct :* I°�� <��L�,1��' i � <br /> � .� °" , '', � ��-c.ylv� . ' � � ��o <br /> I �,I n,�� .; . � N <br /> V '. �� �� ' I� � ; � <br /> ` � 3 � • 4; <br /> _ IC ����N <br /> � SIGNED '.�C= j' �'�.z,q . �jo ' ; . \�_..->= M <br /> \ . . � ��� .. �, OIdNER � � � � U � ��. <br /> ' �� ✓ � <br /> � • CON!'ItACTOR /��/Zl�� rf/fl�N cr()� �/ P 2� � / 5_'-�„� Lynn� <br /> ��� <br /> LICENSE N0. �- so Maf2 2 Q 19� J; <br /> ,�\ . � CITY OF EVE��7T <br /> � ' Inspection Dept,, <br /> -,. <br />