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SIGN PEF2PIIT T�PPLICATION <br />SUIIIdIT EVIDLNCE TIfnT,EnUIPD9fNT <br />C0I4PLIES ialTH TIiL STANDARDS OP <br />T�N T�PPROVGD T�STIT�G L7113012ATORY. <br />IIISPECTION OP SIGN REnUIR�D <br />BEI'ORE ERL:CTION. ' <br />CALL 2�9-8795 rOR INSPECTION. <br />Application'Date <br />�nD�SS E�,=- _. ,. . _. ; .' I S /.Z <br />/o�l��?l <br />3y� � <br />The undersigned otaner hereby agrees to hold and save harmless the <br />, • City of Everett irom any and all clair.ts for damaqes that may.arise <br />because of installation of the improvement hereto.applied for, and <br />further agrees to remove same upen notice from the City and to re- <br />, place all public proper.ty dar.iaged ihcreby., <br />'I . <br />�Eutvt� ';—� 1��� <br />Sll.ch�L�T.Gia u�`Z� <br />P�'..��I c ti—. . <br />VALUE: <br />CIRCUITS: <br />r��: <br />�LECTRIC7IL: <br />TOTI�L Pli�S : <br />� ��O <br />.___.._._. _._. .__ ._ ..�2_'� '__—'__.'—._ . _ _.�_.c�..,. <br />_' _.. <br />___ __'._..__ .__ . . ._ . __. _.... . <br />. , '. ' , '_'""`_ I <br />-�� i � <br />�� � ��!�/ . "�/ � I <br />� �� r ! ... _ ... % l��� �c� ��� �',�-�_.� � I � I <br />-- ''�Y �/ �.; _. �... � �•' - � l_/ `� . V� �.J �1-�,I' � <br />,; <br />/ i .' .. i \ <br />• • <br />' ' � � . .. _.._ � ._. . _ ____ _ . <br />__ __ ___._. ... . � . �I I <br />/,' <br />Signed <br />�i : <br />�- � <br />"'.1. -�,_ ; � ' <br />�I� y �e <br />_ ;� � � � <br />� � <br />�.�.. ..� rp — �; �' i��� � <br />_ ' ! .. , .�. .,C I _.l .Y:1 . ... <br />�' (/ — <br />ii <br />.'.. . .. . . .. i/-. <br />��' � <br />� . � 1"�� � U �/. � � <br />. � . . .� l' ,.�. <br />; ,�. - . <br />; , <br />� .. . ., . 4 ._ <br />�—(l�Z? <br />�'/,�/77 <br />w er <br />Contr.actor ' 7?= ".:. .:. . . � - . ,.. <br />License No. �' <br />