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, 'SUI3MIT �VIllF.NCI� `1'I-111T �QUIPMEN'I <br />; COMPLI�S WiTIt 1'1-II's STr1NDARUS Ol <br />TI-IL UND�RtiVRIT�RS' iA130RATORY. <br />INSP�CTION OI' SIGN R�C2UIIZED <br />II�FORE �R�CTION. <br />CALL 259-8745 rOR INSPL;CTION. <br />���{/ l <br />1�'� %� <br />-, _ �� _ -7 ci <br />Date _ �' <br />. -- � . ; �, . •. <br />APPLICATiON 1 OR . " , �% f:;` � . ' ` ' , __ <br />-J � ,; � . � � ,.a � � <br />`;<J � ._ 'l:'�.��'. :�;_. _ ; <br />. The undcrsigned owner hereby agrees to hold and save harmless the City <br />of �verett from any and all claiins for damages that may arise because of <br />installation of the improvement hereto applied for, and furthcr agrees to <br />remove same upon notice from the Gity and to replace all public property <br />damaged thereby. ��y' ���"'.�" <br />L—� -- � O c7 <br />.:-l;,+..I,"�C--�--�� —�— r L;"'_ .)_.�� <br />- . - 1�� � " • VALUE� / J l � <br />----- z X, �_ ,�.:. .��� „ <br />5.,� Yi,;�.- � �l srr<.0 ,=�.a-� 3 cro <br />__—_-- -- - C✓C'co�.� To �i�'' CIRGUITS: .�1 - <br />��. <br />,, •,,�, � v` ^- <br />�'� : <br />.�"ouH�F ,xxz.x.�,': <br />_!eor� ��a.�,,_,' <br />, �z', �� l U.( �o. <br />pi�c <br />y� '�° T� �'v / ,. <br />°� ." i'l . rD '�,.. _' <br />�Wf�U <br />it� l`� �` J�IIc��f� !�'� <br />�� P/i'c <br />� <br />� - _ -���„ , <br />� � �' � lR�C3i.;',' <br />!� v i� �' lc----__ <br />r � <br />� �L 5 <br />Signed IQ 5�--'�V` �. nLLC/ � <br />c� <br />; �, �: . � <br />����� <br />� ��!��Rb�a«� 2-/4-7�- <br />�� �� ,7 � <<f� l �f <br />���-� <br />�7L � n I <br />J• <br />J'-�.YS ii%/��-'�-� <br />Owner <br />Contractor <br />- ., __i. <br />ni���E;c�v.:_ ,,... �_,:�_�i��� ��xi�; <br />r`:;�;,_2"�f�'7Y :,;--���� <br />� <br />