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E <br />. ._ STCN PCIt}(IT APPLICATIOt� <br />� SIJCMIT GVIDf::ICG TIIAT CQUIPt1EPT , <br />, CO?[PI.TGS F1ITIl TItC STAtID�12DS OF <br />/,N hPPROVGD TES'CIt�C LAliORATORY <br />ZNSPECCIQ� OF SIGN P,LQUIRLD <br />IIEFORE IRF.CTI0�1. • <br />CALL ?,59-87G5 POR 'Lt�SPECTION. <br />APPLICATION DItTE �✓ �V <br />AADRL• SS ,,�,�C !J % K Y/-,�G ���'�lJ (��/� Y <br />, V . <br />The undcrsiEned oancr•hereby agrecs to hold and save ha:nless the <br />City of Evcrett Irom any and all clains for da:ages that map arisc <br />because of installation of thc improvement tieroto applied for, aad • <br />furthcr a�rees to remo•�e sane upon notice trom the CYty to nnd to re- <br />place all puUlic proper[y dama�ed the:eby. <br />, . o " <br />� • VALl1E: _ � , O 4 � ` <br />. CIRCUITS: _ ___ / J <br />• FEE: C � <br />' ELECTRIG L: ��,+ , :�c� <br />TOTAL FEES: ' <br />� <br />:�. <br />: <br />� <br />� <br />�; <br />..� <br />y1 , � • SIGNED <br />J <br />`�� q �o,���o�-�, sf��s�c�, itic. � <br />�i\ �. J'�- l-� D Z 5-Z PF• �STFr�e-� . <br />LICE\SE N0. � S <br />L�. � l/�g%0. ����'`�� <br />� • <br />, <br />C� ���?���Lj <br />. -. <br />� <br />