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SIGN PERMIT APPLICATION <br />SUBMIT EVIDENCE THAT EQUIPME(h� \ <br />COMPLIES WITH THE STANDARDS OF <br />AN APPROVED TESTING LABORATORY <br />INSPECTION OF SIGN REQUIRED <br />BEFORE ERECTION. <br />CALL Z59-8745 FOR INSPECTION. <br />APPLICATION DATE <br />ADDRESS <br />The undersigned owner -hereby agrees to hold and save harmless the <br />City of Everett from any and all claims for damages that may arise' <br />because of installation of the improvement hereto applied for, and <br />further agrees to remove same upon notice from the City to and to re- <br />place all public property damaged thereby. <br />VALUE: <br />CIRCUITS• p2 <br />FEE: <br />ELECTRICAL: <br />TOTAL FEES: <br />4- PD <br />/%/9/(1 s . /�TT/fe%,ff6,0 F�/2 /Ji5/iStpe/y%fiC� 5/ �•.tJ <br />f <br />SIGNED' OWNER <br />CONTRACTOR rtFa�" /�Dr� � � .ie&."4'f <br />LICENSE NO. �4 Ri f/�/•�/ /fos-�� <br />