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' i .{ . I <br /> _ S�""� PLRAfIT APPLICATION <br /> SUAMIT EVIDL'NCE T}NT EQUII'MENT <br /> . COMI'LIGS FlITiI T11E STAND�IRDS OF • <br /> AN APPROVED TESTINC LAIIORATOFY <br /> INSi'ECTION OF SIGN RGQUIRED ' • <br /> IIEFO?E CRECLIOY. ' • <br /> CALL 2.59-8745 FOR ItiSPECfION. � <br /> , � <br /> pFPI.IGITI0,1 DATE .�/��y <br /> � <br /> 'ADD;;ESS ��n �7 �lifR !�{�`� �- �.0 ' <br /> . <br /> Thc undcrsiEned owncr• he:eby aErces to hold and save harmless the <br /> Ci[y of E��crett from :ny and all clains for dan�};cs [hat nny arisc <br /> Ucca•_sc of ins[all�tion of thc im�rovcment hcreto applicd for, and <br /> furthcr agrees to recove same upon no[ice tro:� [hc City to nnd [o re- <br /> placc all public 1�:eperGy dacw ged thcrcby. /� <br /> VALl1E: r�S��� � <br /> _ <br /> CIRCUIYS: �/� <br /> FEE: �O • �v <br /> � ' ELEGTRIGV.: S • �� <br /> - Tar�,. ��rs: 23� ov � <br /> 5r- ��� ?�' � � . <br /> 5�2 3���i �.-Il .��i�J��-- <br /> l � <br /> � ,i � <br /> l ' ' , <br /> � SICt7tiD �'� � ��=�,�%S:'>`f�:�250''- - - pt;t7ER <br /> COi�'I,"ACfOIt S/ s S4^' �v <br /> • LICCI:SE N0. /� -;� : . <br /> � y.. <br /> ' .� Y_���ii:`• �__I-7S � <br /> 1.., ... �i: <br />