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<br />. SIGN PLI2tdIT APPLICATION � `
<br />,:` ti ': :. ",",;' SUIIt-0IT EVIDL'NCE TIlAT .E�UIPMP•.NT
<br />`�'� �`" , EOI4PLIES WIT}3 Tlic. STANDARDS OP
<br />'��'• At] APPROV�D TrSTING LAIIORATORY.
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<br />ty:+�' IllSY�CTION OP' SIGN REQUIRc.D
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<br />�+^ BEFORE ERPCTION.
<br />;'� CALL 259-87�5 I'OR INSPI;CTION.
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<br />s�'" I�DDI2ESS �
<br />' npplication' Date ,.��,ryT , �y
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<br />'`� The undersigned o�•mer hereby agrees to hold and save harmless the
<br />, City of Everet-t from an}+ and al.l clair.is for damages tiiat may arisc-
<br />tc�i`+;, •, because of installation of the improvement hereto applied for,.and
<br />further agrees to remove same upon notice from the City and to re-
<br />� place all public proPerty damaged thereby._
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<br />SEP 2 1 1978
<br />CITY flF EVERETT
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<br />Signed n�il�t�'/�y?-�lii< � iC:���,� ��C`_P� �s '�� ,/ jOwner
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<br />Contractor 1�c"PC, c� •N cf; iV G U- .�; n:� ) c� / S r G�-�, L�nl�t%, uiF�S �
<br />License No. �` �`� �� _ . , •.
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