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SIGN PERMIT APPLICATION <br />' SUBb1IT EVIDENCE T}lAT EQUIPMBNT <br />COMPLIES F7ITI1 TIIE STANDARDS OF <br />AN APPROVED TESTIrG LABORATORY <br />INSPECTION OF SIGN REQUIRED <br />BEFORE LRECfION. <br />CdtI.L 259-8745 FOR INSPECTION. <br />AP?LICATION DATE �" ���— �� <br />ADDRESS �'S'�o� �d �20iS�-,aGel/f'� F!/��2Frr /�7./�� �- <br />The andersi�ned owner hereby agrecs to hold ard save harmless the <br />Cit:y of Everett from any and all claims for damages that may arise' <br />becau�e of installation of the improvement hereto applied for, and <br />further agrees to remove sane upon notice from the City to' ur.d to re- <br />place a11.puUlic l�roperty damaged thereby. <br />�` � <br />� VALt1E: . � IoOD- <br />� • <br />CIRCUIT,S: _ <br />FEE: � <br />ELECTRICAL: _ <br />TOTAL FEES; <br />e <br />SIGN6D—��(� - r- �%�-- <br />corrrsacroR �'i'-n��� �•�•v co�?. _ <br />LICENSE N0. �� /�ln�P� — <br />a <br />"') /,/l � �P;.��::�.... <br />; ��i�����` • w <br />.G'ls:c.,'r � <br />OF1N£R `- � � <br />. ��,��� <br />