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. <br /> � . u^IGN PERMIT APP�ICATION • � 2� 6 <br /> SUBI4IT EV1DL•'NCE TIIAT ,�QUIPMI:NT � / / / r ? <br /> C0:4PLIES P7IT13 T11G STANDARDS OL•' " � 33 �7 - <br /> 1L7 APPROVED TESTING LAIIORATORY, ' <br /> I1iSP�CTION OP SIGI4 REQUIR�D (�/�/�C' <br /> BEPORE IiR1iCTI0N. • ' <br /> ChLL 259-8795 I'OI2 INSI�ECTIOI�. <br /> Applicai:ion' Date ^�r �C� ! �.G <br /> ADDR�SS ���� �- ��I��G(ZI��,N i�tJ Av <br /> / <br /> The undersigned o�aner hereby agrees to hold and save harmless the <br /> • City ei Everett from any and all clair�s for damaqes that may arise <br /> because oL installation of the improvement ]iereto applied for, and <br /> further agrees to remove same upon notice from the City and to re- <br /> place all public property damaged thereby,� , <br /> . . � VALUli: �/•�C� __--� <br /> CIRCUITS: I '- SOG�e� <br /> r��: <br /> ELECTRICAL: <br /> TOTAL I'J:ES : <br /> . (� � l'7 l�1 U F2T N f HG`f!�L C. � (G (1 7-'L� <br /> G=x t s-z-'i ��Cs _5 �"1Z�c T't� f2t~.�. AS '��i� . <br /> Az-��-t� KL�(> 17 i/�.G t2�l�-� <br /> —� , <br /> (1K---- �� �CC� ' - <br /> m •7 � <br /> u�•r�i���,i�:��%ows �� u , • CIT`! 0� EVERFTT . <br /> � �:`r oF c=uc=.�(;;' �PPROUED FOR (3UILDI�G P[RI��I I <br /> ��F1Y`�.�,��-.4.L��� . . I <br /> rY-�7-7E �a9�. 3�� -�b gY �.(. C. I <br /> signed �e:r-<c�L.�7' �i��,�-�v�crc�,�-�-�oKs o�oner. . <br /> Contractor ' � (�t '�' • I <br /> � � <br /> License No. � 2 -3 •� L —AC'—I'�/� — r�� —�Zi( ,�=1� I <br /> • I <br /> � i <br /> . . � <br />