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0 <br />SIGN PERPIIT APPLICATION <br />SUBt4ZT EVID�NCE TIfI�T .�QUIPAIENT <br />C0;4PLIES {VI'PH THE STANDARDS OP <br />A17 T�PPROVED T�S7.'ING L7�1�012ATORY. <br />/J � . <br />/ ` <br />/��'�^��. <br />. �/��! %.0 <br />II�SPliCTION OP SIGN R�nUIItED <br />BEFORE ER�CTION. ' <br />CI:LL 259•-8795 P'OR INSPECTTAId. <br />Applicatiori Date ��C �{ /7l0 <br />ADDi2ES5 CQ � � �• �� V �� �l� Cc.� (�( (�2.�� � <br />The undersigned oem er hereby aqrees to hold and save harmless t11e <br />City of Everett from any and al]. clair�s for damages that may arise <br />because of installation of the improvement hereto applied for,.�nd <br />further agrees to remove same upon notice from tlie City and to re- <br />pl.ace a1Z puUlic property damaged ther�... <br />� �y!'i i/�lKG <br />' VALUE: ���/�� LC>Si� �� <br />� <br />e <br />9 <br />e <br />�-� ��2 <br />�^y�,.al �•. <br />'� o �c���od �D <br />JEP 1 , 19i6 <br />CITY OF EVEREii <br />I�spection DePt. <br />Signed <br />CIRCUSTS: f <br />F��: G . c� � <br />�LECTRICI�T�: -- l_�' � <br />TOTRL FEES : � d - F�� <br />Owner <br />Contractor ��,eie,��{�'� ' ' � _ <br />License No. Z � -��U � ��-1��-'l`� �7�..� ¢��� <br />.; <br />� <br />