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u <br />SIGI� P�RtdIT APPT,ICATION <br />SUBIdIT �VIDL•'NC� T:fAT .]'sQUIPMP•.NT <br />COlhPLIES �9JTIi TIlE STANDARDS OL' <br />A?7 APPROVED '1'ESTING I,AI30R11TORY. <br />IIaSPECTIOH Or STGN REQUIRPD <br />BEI'ORE L•'R�CTION. <br />CALL 259-8795 POR INSP�CTION. <br />Applicatio�i Date <br />ADDR�SS <br />/�� ��G'' /�i <br />4' /�� s' <br />. 6����.� <br />The undersiqn�d o��mer hereby agrees to hold and save harmless the <br />City of Pverett from any and all clair�s for damages ihat may arise <br />because of installation of tl�e improvement hereto applied ior,.and <br />further ayr^es to remove same upon notice from tlie City and to re- <br />place all public pr.operty riar�aged thereby.�, <br />VI�LUE: ��O <br />CIRCUITS• � <br />, �' c u <br />.. r��: /� � <br />'. �LECTRICAL: � . <br />Signed <br />Coni:ract <br />License <br />TO`PAI, FliES : <br />e <br />n <br />CITY OF EVERETT <br />APPROVED FOR [3UILDING PERMIT <br />Date BY <br />% 7U <br />