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' SUIIrIIT EVIDL'NCE T31AT EQUIP:L;IrT <br />COlf?LICS S7ITIi Tllfi STi�F�i;,RD3 OF <br />AN APPROVED TESTInG LABORATO"�F <br />IhSPECiIO\ GF SIGY i:FQUIRED <br />BEr'03E �RE�ION. <br />1;.4LL 259-$745 FOR IIISPECTION. <br />ADDRESS <br />APPLYGITION DATd ' � '- � �- % �� <br />� �/c�.:.: �i �F.• �_��i.� __ ._._ ._—_.'_— � . <br />The undersi�ned ow-ner hereby a�recs to hold and save harmless thc <br />City of EveretC from any and all c1a Las for da�ages that may arise' <br />brcause of installation of the inprovement here[o appLied for, and • <br />furCher agrees to re;::ove sane upon notice fro� thc City to' and to re- <br />place a11 puUlic p:operty dacaged tl:ereby. <br />, o-c+ <br />c r',:.'�"' 1%P.I:J�: .� F-'�':J �- <br />' Ko.v-/ccs<rpin�y?:_ � <br />: "' ^--.�.-..r . `'i� .. CIRCUITS: — C'� — <br />,1 /i+;,,,�� �_ � <br />I�-'" / j --�� � f'EE : � J�' � -- <br />. �it:`�"' �` ' _ .__ <br />ELECTRIC�L:' <br />TOT��L FEES • <br />� !.:!C�f':J ��\'.�1. <br />7�.%; `�- E[i^h LAE•? N <br />(.v. � I <br />9 <br />' " _--_3�i.>: a.v._...__.._. .._..�. <br />�i/�L_Gf.,��-=-- �: i�.i,a L./ <br />— — - - - � -__�� .:—='��- -_. <br />' , �.�C.. '%�', � .:_.. � . . .^ . � -r_.�— <br />STCi%�17 �F� /i.^.n;•�-i'_ �� �.r/G-c �rii`�.� <br />, .. / <br />corz�.+cror, Lf`,�T_; a,,: ,• �,;,� ; <br />__.�._w _,�' <br />LICcNSE N0. : 'i_`' �- _ `'� 'L• � � - _ L-� . /. , �` <br />+ <br />j <br />'� <br />d <br />