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v <br />� <br />� <br />SIGN P�RIdIT P��PLICl\TION <br />SUBI4IT �VIb�NCE T11AT EnUIPP1�NT <br />COI4PLIES S4:CTII TIiE STI�NDARDS OI? <br />I�id APPROVP.D TESTING LABOI2ATORY. <br />I2ISPECTION OP SIGN REOUIR�D <br />IIFPORE ERP•.CTION. <br />CALL 259-F3745 I'OR INSP�CTION. <br />��� J_ �r. <br />� �'� <br />�/��/�> <br />Applicat-ion' Date v (/�G/ �, �9%� <br />�5 3 � <br />��D�ss � z �- � - r��z2 ����,v �� y <br />, <br />The undersigned o�aner hereby agrees to hold and save harmless thc <br />City of Everett from any and all claims for damages thut may arise <br />because of installation of thc improvement hereto applied for, and <br />further agrees to remove same upon notice from the City ancl to re- <br />place a11 public pr.operty dar�aged thereby., <br />VI�LUP: ��O O � � G <br />� <br />. <br />CIRCUITS: <br />a �' <br />rE�: /S � <br />�L�CTRIC.'1L: G,j�� <br />TOTF�L F�ES: -Z�� .• � <br />o.�l.� �� <br />�I` � 7���� <br />i � <br />Siqned „e_�- �- ��1��-c.--���' Oianer <br />Contractor %��f��� �� — � �Z - �% �� <br />License No. 7� 3— o Z-- G G�� _ /_-" �Z/ <br />