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�. <br /> SIGN PERMIT APPLICATIOf] ' J � r� <br /> /�.r7^O� r / % • <br /> SUBt4?T EVIDfiNCE TIiAT EnUIPD1ENT � • /�'��� <br /> C0:9PLIi:S WITf1 TIIE STANDARDS OF • � . <br /> AN APPROVED TLSTING I,I�gOR1�TORY. <br /> INSP�CTION r? SIGN REQIJIF,ED /�" �� <br /> BEPOR� LR�CTION. � <br /> CALT. 259- 8795 rOR IPISPECTION. <br /> . Application Date / �'— / (o . <br /> ADDIt�SS � ' �,� <br /> The undersigned owner hereb agrees io ho7.d and save harmless the <br /> Cit�� of Everett from any and all claims for damaqes that may arise <br /> � because of instc '.].ation of the i.mnrovement hereto applied for, anu <br /> further agrees to remo��e same upon notice from the City and to re- <br /> place all public property damaged thereby� <br /> . Vt1LU�: _�� �� <br /> //r/5 ✓R �/ r.�;,5.!l�u.cf'l�..Ci rv/[1 CIRCUITS: �� <br /> . '/ ;.. . ' FEE: ( <br /> �I� L-i !I GN; rlrtVlb3 "(.,. r �LECTRICAL: I <br /> 1 r/r v j7.c� �' • l . TOTIIL�FEES: ' , f <br /> o / , , <br /> ; <br /> . ;� <br /> �} . <br /> Signed ' � `�"/rl� � � .OwneY"' <br /> � <br /> Contractur '� ,� ��r'-,•� < i% <br /> I,icense No. �__� O / � S S/ �? ��t� �' <br /> •�_ . ' . _ <br /> —�c::� � _.� <br />