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\ <br /> �. <br /> 1 �0 � �2 � - <br /> SUI3MIT F..VI1��1'GTs TI-IAT �QUIP,\4G\�'i ' <br /> � COMPLI�S WiTII T1-lE STANDARDS Ol� / / <br /> TI-IL UNDL12\V1t1Ti:12S' LA130RATORY, ��.� S �� <br /> INS?�GTIO\' OI' SIGN R�QUII2ED <br /> II�FOR� �.'RL•'CTION. <br /> GALL 259-8745 FOIt INSPECTION. <br /> Date ��'� �r /�� <br /> APPLICATION FOR J/cn/ /��y'�l/G�/il�L� i�E��"� c�f�l�� <br /> • �('"(,3� ���,�«'�r,v _ <br /> . The undersigned owner hereUy agrees to liold and save harmless the City <br /> of �verett from any and zll claims for damages that may arise because oE <br /> installation of the improvement hereto applied for, and furCher agrces to <br /> remove same upon notice froin the Gity and to replace all public property <br /> dama�ed thereUy. <br /> VALU�: d"C% � <br /> CIRCUITS: /v D�G <br /> -- i -�C,--- � . <br /> � �r�—!�-- \ <br /> � .�: , <br /> � ' � 'K � <br /> \ <br /> � . � �___-__' _"______--___. _�_. ._ .. .._ _ .. . ._____-- __'_._._ . <br /> � <br /> {y/f 7ia�. p/�l�d 7bD .P�`�:��E� I�f 7�i�'r0 �i;'i71+ CITY OF EVCRETI" <br /> __._ ._ _ <br /> � ��,}ck�YS-- �- 120.�-1 �17Ti�CK-L-_P_?oAPPROVED FOR BUILDING PLRMIT <br /> - �Ar 7e.zs . �t'� %a-d� Lfl6S '�- .P�L. -{Jatc 9 �2 �—py/,� z' <br /> �/1�1c;i�s:T . " — ---- <br /> Signed �--� � (r4'P� �SrfY7P Owiier <br /> / � �'`'� ���BA-SlGA:w[1ManNv Contractor <br /> w���cLn%Gc-!2 � 2118-19th ST. PH. 269•4413 <br /> � EVERETf, WA. 98201 <br /> , �,� �/- l�• �c� <br /> �� ��x:�?�� �-�L-�Q <br />