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<br />,�509 Brondrtay U��{� 7-9�71
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<br />APPLICATIUN I"UR Porn_t to movo si�n 2t G710 Evorgreen Vla4 from �fl�b side �
<br />of 131dg, to Prort�i nido al1 on pr5.vate propor�y�
<br />rhe ,ndersigned ownor hereby nprce;� to hold and a�ve h�rmless the Cfity
<br />af F..verett from �ny nnd n�1 cln�ms f'or unm�Qc;� 4;h�t may nrice beciusr_ of
<br />ins,a)1n{ion of ,he improvement herr_ko app]i�� for� nnd further anr�en to
<br />rem�ve sam� upon notice from �he Ci",y and to repince nxl pub�ic proper�y
<br />dam�t�ed thereby.
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<br />y CITY OF EVERETT
<br />__d�' APPRO ED FOR [3UILDING ERMIT
<br />Signed ���(j7���� Date 7
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<br />"�3" �loctric ln� c, � "{ 2^��= _�___�Contrar.tor
<br />3509 13rondrvn� �,� ( :�� l�r.c�j
<br />+ver�tb Plaeli
<br />'•59-2175 /''//� (^�/ n�,
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