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L_1 <br />. SICN I'ERTIIT APPLICATION <br />SITBMIT EVIDCNCE T11,1T EQUIPMENT <br />COMPLIES WITII TklE STANDARDS OF <br />AN APPROVED TESTING LAIIOfLiTORX <br />INSPECTION OF STGid REQUIF.ED <br />BE!'ORE &RECTTON. <br />CALL ?59-5745 PO[t INSPECTION. <br />APPLICATION DATE .�J —�-%� <br />AUDFESS �, �,G � ,7 � [� c'.� l"-� n ��cF ; Cr�/J-t.�- <br />The undcrsigned cwner•hereby agrees to hold and sace harmless the <br />City of Everetk from any and a11 claims for damaEes tl�at may arisc <br />because of in^tallatton of the improvement licreCo apr'.ied for, and <br />fur[hcr agrees to removc s�mc upon notice trom the Ci�y to nnd to re• <br />place �11 puUli�: preperty dacc�ged thereUy. <br />�o����� <br />� <br />� �C' �s F,� <br />. ��%L 6 � <br />•/J�.e.� <br />Y!" <br />. � <br />VALUE: �-c'�r�G'v <br />CIP.CIlITS: � <br />FEE:: ! ,� �--• '� <br />ELECfRICAL: <br />TOTAL FIcS: <br />\ <br />C7-: ��' <br />��t ;� . <br />�.. . <br />E= , . �'� ; ) <br />� <br />. ,,r�� <br />��:o ��� <br />. � �' ��� <br />, ,�. ,,,.�re <br />/,� <br />,- / <br />`,� .' � <br />..�r/'• • ��,�1 <br />� �� <br />G.� � (��7� V�-Ca% <br />. ` �� <br />� � � 'lL��� ' °��'i�';� <br />,_ : <br />� /� ' ��; ,.:v r -T <br />SICtiED �`� �(, 7/. ;( _ .T-%,�"v����t'� 0{dNER' � (�D�/L � � ��=- <br />COi7LRAGTOR /L/�.� T�-/ �/CF'/. /,�/L . <br />LicLr:SE N0. .�/_f -_�i-� % - /�/l� �K= �3 3 d - i� .T <br />- �-'�.�-� �,�� (���:..,�_ � <br />,� . <br />