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;rl PERMIT APPLICATIiN <br />SIJB?tIT EVIDENCE TtIAT EQUIP*tENT <br />COMPLIES UIT(1 Tl?E STAND�IRDS OP <br />AN APYROVED TESTIIiG LADORATURY <br />INSPECTIO� 02' SIGN REQUIRED <br />EEFORE ER�CTION. <br />�ALL 259-8745 POR INSPECTIGN. <br />APPLICATION DATE ' � �" � r� <br />ADDR�SS <"oS'vo �(�•.��� ,.�,:;, . ti ,��1 ��, <br />,%L 5 ArJ-o -, . <br />Thc undersi�ned c•aner hereby agrecs to hold and save harmless the <br />City of EvereCC from an}• and a7.1 claims for dama�es that may arise <br />because of installation of t;ie improvement hcreto applied for, and <br />further agrees to remove same upon notice from the City to.nnd [o re- <br />pince 211 public P�operty damaged Lherebp. <br />� '' -- �' -'� � -------•:.I <br />_ __ _r , — _ - --- VALUE: <br />,__--/ ,,, � _ <br />� � <br />�� CIRCUITS: <br />\ � FEE: <br />� . -.- �p- _a xii e'.- . <br />P' "°r -wc-� �p M ELECTRICAL: <br />� � ro��r„ P/FE <br />_. _'_ " -,J __ <br />( <br />�- <br />. � <br />D� <br />�� w <br />—(u _'_ <br />1 <br />� <br />T <br />�s�— � <br />\wE�^�i'- <br />Flt�i'CO- :"'rr.:L <br />A:i,vt�r `�' <br />U �� i <br />" �G � <br />� l� <br />CONTRACfOR <br />LICE4ISE NO <br />TOTAL FEES: <br />/I::. �..�..ic; <br />G%- _ .. _-., i-- � .. <br />F.:2ri �.r;= ' <br />PcASrK c�1C%. <br />/,:.._ v,t . ., . . .. <br />I . _______ �1\ <br />�� <br />� � Q� . <br />B-GC�' %.,; '^� <br />G2r70�.' li � � � �p..:" <br />1 <br />. � i <br />SIGN'"V{j <br />u <br />___..._F( F� G�� ., �ti c.�. i�'Y <br />OWNF.R <br />. , . .. . : `... / _ ."_ .. � lO J.' I — ,,= . �. <br />—_. •, . . <br />� r_. y� i'�-i- <br />j'. L . <br />��% <br />�� <br />