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� SSGN PERt9IT APPI,ICATIOPI <br />SUf3t•fIT EVInP•.NCE TIl71T Ti(?UIPi;Tr7T <br />COIdPI,� �s t•azTtt mtlr•, ;TnrT�nP,DS or <br />� I�id I�PPItOVt;D TP.STINC 7,i!i30R:lTnRX. . <br />I'�SPECT70N OF SSGPi RPC1iJIRL:D <br />IIEPOP,P 13PECTI0,1. ' <br />CALL 259-(i745 1'OP. INSPP.CTIOPT. <br />� Application nate <br />ADDRCSS , S I Z SC1U 7�-� �(Li//Mty.� ��U-�u�l� <br />. . `� <br />��a . <br />��%�"%% <br />/�/�`� . . <br />/ <br />November 30 1976 <br />0 <br />The undersigned osaner hereby aqrees to hold'and save harm].ess the <br />City of rverett f.rom any and �zll clair�s for damz�qes that may arisc <br />because of- installation of the improvem�nt hereto applied for, and - <br />further aqrees to rcriove same upon noticc f.rom the City and to re- <br />place all �ublic Pmperty d�zr���gecl thereby. , <br />V11LUE: �59.000.00 ;'�`I U.G <br />— � <br />CIP.CUITS: � <br />r•rr: <br />rt,rc^r�zc�i.: . � <br />� <br />TOT�r, rr�s : ^ � . <br />ERECT & 1�1AINTAIN THREE (3) EI,ECTRIC SIGNS pND UNh' (1) NON-IIS,Ut4INATED -- <br />ALL AS P�R PLANS FILED. <br />Signed <br />�L� <br />0 <br />-L ni� 3��, <br />Owncr <br />Contractoi- _NATIONAL SIGN CORP., 1255 4festl�ke �*�� rs �s�,triF� �•fa.9$109 <br />License No•, �/r,_?,�3_oz-6628 <br />State Electrical: D-921 <br />Lberett City License No.: /�23769_ <br />