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SIGY PERAtIT AFYLICATION <br /> SUIlMIT EVIDENCE T}IAT EQUIP.•SEN'C <br /> CO�fPLIES F1ITli TIiE ST.1t�TJ:�RDS OF <br /> AN APPROVED TESTI'�G LABOR1T02Y <br /> INSPECTION Ot SIG;1 REQUIRED <br /> EEFORE ERECTION. <br /> CALL 259-8745 POR INSPECTIOv. <br /> . <br /> APPLICATION DATE � <br /> ADDRE55 `��� 7 —�zi2�VL L3v� <br /> The undersigned ownen c�reby agrees to hold and save harmless the <br /> City of Everett fror. any and all clains for damages that may arise <br /> because ot ins[allation of the improvement hcreto applicd for, and <br /> further agrees to remove samc upon uotice from the City to nnd to re- <br /> place all pubLic p:operty damaged thereby. <br /> 7ALUE: �rjD `r <br /> , CIRCUITS: � `G � � ! �1 <br /> • � FEE:. � % ; r. ;,' ; J <br /> ELECTRICAL: ' _ _ <br /> TOTAL PCES: - I ' ' <br /> ����-1.=e� S1 C��t� l��/L-- ��-/fe.0 I,l�—i�<S , <br /> . �� � � odr� � <br /> SEF 21 1978 <br /> • CITY Qf EVEFGTT <br /> � <br /> li�spe�'ti;,n Dept. . . <br /> � <br /> , - <br /> v � �/. /� _ <br /> U. : r � ��� 7je.w,•✓`---j�tC.LI� �, <br /> W <br /> SIGNED ' U�LIW(.Ob Ci�f1I6l�JtC� ���I '�l ./ <br /> �� � • CONfR4CTOR j/ I�I.`-C) S (J/'J �1//1-/� 7 <br /> � LICENSE N0. �� � � � r�`���� � <br /> � 7 � . <br /> ��� <br /> v <br /> 'i' <br />