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SIGN PERMIT APPLICATION <br />'�3UBt4IT EVIDENCE THAT EnUIPM�NT <br />C0I4PLI�5 WITh TIiE STI�NDARDS OF <br />AN APPROVEU TESTING L7IBORATORY. <br />INSPECTION OF SIGN REQUIRED <br />BEFOI2E �RECTION. <br />CALL 259-6795 I'OR INSPECTION. <br />Application Date S,a.,�� � �_ � "1 <br />ADDRESS _ (a7 Z� E�%E�zc�rze�.1 \�a-' <br />The undersigned owner hereb;� agrees to hold and save harmless the <br />City oi Ever.ett from any and all clair�s for damages that may arise <br />because of installati.on 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. <br />' . VALUF.: �2��tJ°`�`- <br />< . CIRCUITS: � <br />.`• <br />. " ' . . F�E: � L c' `_' <br />: � <br />. ' ELECTRICAL: �� � `� <br />�� <br />. TOTAL•I'E�S: �'1' <br />��zrn�ssio� � -�iz�-T ��. r%t.n-�,ur�o-i,�.i c��� <br />��C= �(�6crT S l�� l� �fL nUu.� � <br />�D I �.� �4E <br />J� Nt t, r•t t�.�ti�r <br />G�l_.� �..�� <br />. w �Y . <br />d� ���� �� ��� <br />8 �' � � '�T. '� ►�' <br />a� -�.I�u -- �v��� <br />�����-a� ��� <br />� _ 2-�- _'l "_l �� . C <br />/ - � z'='- �7 -�=��f�1'�� (,e...,.,. ). <br />'J� <br />Signed <br />Cwner <br />Contractor ' ' -T���� —q:2:� ' �(S'i�GA�/5 � u C � i -p� —SG2. Z.-SS� > <br />iicense No, z`�`E'LZ / <br />� <br />;� <br />I <br />