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� <br /> � SLICIlIT`Lvrru:;)CE 7'IIAT I:QUiCi�rxr ' - <br /> , � C0�`1Pl.ICS HIl'll Ti1E �I'hIIUAItU; OF ' <br /> .,; .. <br /> /�11 API'k0�'I:D TES'fI1;C LAL'OMTOR'L. � , � � <br /> . <br /> _ • ,:': • <br /> IIISPf.GTION OF SIGII RIQUIRED • � ^� �" -� � <br /> DEFQIIG l:RF.CTIO;l. ' , „ <br /> • CALL• �59-II745 POR IIISPELTIUN. • � . <br /> . APII.ICATION DATE �tn,� 2a. la7q • <br /> ADPi�CSS Orv's �uto Snu�r� Inc. 5703 �,v�rrr�en �'!a•� E;v�rett <br /> � • Thc undcrslgned pvner• heceby agrces to Iiuld nnd cavc I�ar�nlecs the <br /> , • CI[y of EvcreCt (rom any. end all clains tor danages [hat may ��risc' <br /> . , bccaua� of lnctallntlon of thc improvcmen[ Icreto applicd for, and ' <br /> • furtlinr a�rces to rcmovc aamc upon no[tcc from thc Clty to nnd [o re- � <br /> . pl.,ce all public ��uperty dam.i�ed ChercLy. <br /> � <br /> . • ' VALUE: �Y00• �� • • <br /> , ' CIRCUITS: �� � � ! <br /> . -----------_ <br /> . . ' ' FEE: 3. C-� � <br /> . . EI.EC7'ftIG1L: '�• �-7 <br /> , ' . . ' �— �� � . <br /> . TOTAL FE�S: -- . . <br /> • • • ' � <br /> • ` . . � � �� • �� <br /> - -: . . _. ; , _ � 5�3i��y ; <br /> • SICNF.A .' ' - �� f'ti-- . <br /> . ���� �c,�veR h�4'� �'-�u-�T � <br /> corrrr,ncroi; B RL�TRIC' I11Ca � �� �'v �.e/U.as�r � <br /> • �.�OF ' ' ' <br /> ' ' LTCEt7sii t70. _ ,�C �- j. .. � ' <br /> " , j <br /> . �: �� . ��J / � <br /> `�. � • <br /> � � ����a/� i/�.'2... � • ' . I <br /> • ' . I <br /> . i <br />