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SI.CN I'ERIIIT APPLICATION <br />SUBMIT EVIDENCE THAT EQUIPMENT <br />COMPIMS WITH THE STANDARDS OF <br />All APPROVED TESTING LAOOR/CLOR'1 <br />INSPECTION OF SICK REQUIRED <br />BEFORE IiRECTION. <br />CALL 259-E745 FOR INSPECTION. <br />1 APPLICATION DATE 2d <br />ADDRrss ��D 7 S 1i s'� S i <br />The undersigned owner•hcreby 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: ''n <br />CIRCUITS: <br />FEE: 6v <br />ELECTRICAL: <br />TOTAL FEES: <br />2top <br />SICI7ED � �"`"��f •• <br />coh,rRAGroR IMCO SAWN 60004 <br />LICENSE No. Z 2 3 <br />