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� <br />SUBMIT 1sVID�NG� TFIAT ]�QUIPMCIQ'I' <br />C'OMPLI�S �NITII TH� STANllAItDS Or <br />TH� UNDERtiVRIT�RS' LABORATORY. <br />INSPECTION Or SIGN RES2UIR�D <br />Ii�FORE �RECTION. <br />CALL 259-8745 I'OR INSPECTION_ <br />Date 1 \Q�� � � \ -�� _ <br />�� �.'lc,. -1 <br />APPLIGATION FOR ��<<-,��� — Cv�Cc= �'�,`+'t��'.Cc�'c=1�� �'�-•7�V N��t.:� <br />The undersigned owner hereby agrees to hold ancl save harmless the Gity <br />of Everett from any and all clairns for damages that may arise because of <br />installation of the improvement hereto applied for, z.nd further agrees to <br />remove same upon notice fro�n the Gity anc? co replace all.public property <br />damaged thereby. �� <br />e <br />,� <br />VALU��'�=-,�c� `� �• � <br />U C, D <br />CIRCUITS: ���_�° "-- <br />��2�.c_� C�Hc� ��A\�RARv ( 1 J 1`���' c,�,:�� <br />S� <br />--� n V-p� _� <br />�'-�` r.T <br />� <br />Signed <br />F1� ���ow,.� <br />Owiier <br />• � Contractor <br />V . h�= �r� 12'C Z� �"�C�i (a�� G - — — <br />� �Z- (C• Z3 CITY OF F.'N" �':1'T <br />��//� � APPP.OVE!7 � QR Gi!ILU i;(i �[R'YIIF- <br />�G�(X�`- � z -1 �-73 <br />p � > n,,�� _ � Ll��/7�..__. G:,. ----- <br />�/��,%i%3'a�`9'e /z- f-L-73 <br />