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SIGN PERI•IIT APPLICATIOv <br />SL'fSDiIT EVIDEt�CE T_A4T EQU1P:fENT <br />CQh1'LIES k'ITkI Tt]E Sf.1KDai DS Or <br />hN hPPRCVED TESTI::G LABOR.tiTORY <br />It:SPECTION OF SZGN REQUIRED <br />BEFOR� ERECfION. <br />CALL 259-8745 FOR INSPECTZON. <br />APFLICATION DATE �i� � 7 � <br />ADDFESS <br />Thc undersigned ewnen c�reby agrecs to hold and save harmless the <br />City ot Everett from any and all clair,�s for damages that may arise <br />because o£ installation of the improvement hcreto applied for, and <br />furthe: agrees to remove same upon notice from the CiL•y to.nnd to re- <br />placc all puUlic I�:operty damaged thereby. <br />P�-�r�-�i-�=1� <br />VALUE: <br />/���°°-. <br />CIRCUITS: <br />FEE: <br />9 �� <br />fa�- <br />FLECTRICAL: �-1�T��✓C9 `J <br />�� �� <br />TOTAL FIiF,S: <br />�-'�'l �''Q��" '�.!�-�- <br />!K. C. 1/t1��1� <br />. , — ..,��� .�-�- /�-y �� f — <br />sicrrr;n �..l—�t-,—l`� � b� = ,�'w<<� � owrreEz <br />CONTRACfOR ��� ivtc.v S% c�%✓ �� , I�JL, <br />LICENSE N0. ,fi �� �--,� �' � � \ • <br />� J«�/f ,�'���� �� c�-� _ ��,.I <br />