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. SICT7 PClt1•fIT APPLICATIOtd <br />SUP,t•fIT. �VIDridCL•' TIIAT �QUIPhifhT. <br />COAfPL7G5 FIITiI T11B STANDAI2D5 OP <br />AN APPRO\'GD TEST7IdG LAISOP.ATORY <br />It3SPF.CTION OF SIGN RLQUIRED <br />BIiPORti tiRECTI01d. <br />CAi,L 259-5745 POR INSPCCTION. <br />APPLIGIT"LON DATE c.l c�c.-f a I�% <br />ADDI:BSS 7 3o g��=�/ �nzG �Z-��ti Ii JA�� - <br />Tlic undcrsigned owner�hereby agree, to hol.d and save harmless tlie <br />City of G�•eiete irom any ancl all claims for dama�es thaC may arisc <br />brcause of installaCion of thc improvement hereto applied for, and <br />furtLcr agrecs to remove sane upon nol'ice from the City to and to re- <br />;�lacr all public Property damaged ther�Ly. <br />1 �t�i Urn � -r— -ro <br />S.I l�1,.� �"� p. � <br />VALUG : � � r� �= <br />CIRCUITS: � � <br />�� <br />FGE: �J , <br />� v— <br />F.LECfRIG1L: � <br />� <br />TOTAI. PEES: ��i <br />i ti( Sr���- 3�-i. ) 5/F E. �� i. <br />� <br />LKLSTI hLG ��rjL� � I�O T��.L <br />• • 1 <br />t��z. �L.4-ti-� , <br />� � �� ��.� <br />� <br />:�. �, �/, / �� <br />;�'1. C'a-���w �/`'/�' <br />c� <br />_ r, �,} �S ((� � , ",' � I J <br />i�l� <br />: �;i1 . fi i`I78 i <br />CfTI' Or EV'cREf� <br />Ir.s��ctiae� L�e��. <br />SIGNED �i/'�• �"��.�- OFINER SK�PP��LS <br />CONT[tAGTOR �J 6 E• �+�rcz-r- G� � 5 r�!_rw-r 5)�.l L <br />LlcCnsL ro. -r v • �3 � • �� � � � o s <br />-Po; �ox G-(R�13� SF��rt-���1-, Cc�slnq <br />�� /' %" � <br />�_ _ � /-r` ' _ ' �__ , <br />I—�'rao—S�Z �ZBS� � ����;/' :1ii;,:=i_ ,. �'�� j <br />� "1' <br />