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I <br /> I <br />� <br />� • <br />' SIGA�PERt4IT APPLICATION , . � � <br /> SUBMIT EVIDP•.NC� THAT EnUIPMENT � • <br /> 4 C0:4PLIES WITH 7'IIE STANDFIRDS OF • . <br /> AN APPR04ED T�STING L1,B0?2ATORY. <br /> INSPECTION OF SIGN REQUIRED <br /> BEFORE �RECTION. <br /> CALL ?.59-8795 FOR INSPECTION. <br /> , Application Date ' -� � ' <br /> i ' <br /> ADDItESS j' �.� ` " . ;,' - .. <br /> i The undersigned owner hereby agrees to hold and save harmless the <br /> City of �verett from any and all claims for damaqes that may arise <br /> because of installai:ion of the improvement hereto applied for, and <br />�� iurther agrees to remove same upon noi:ice from the City and to re- <br /> place all� public pr.operty damaged thereby. � �,; j <br /> ,,�--y,".""--� • V�UE: /�OO '" <br /> ����i�,, ;. ; � - ` <br /> C<_.-L , CSRCUITS: <br /> .��`- � Q a � <br /> , � * ` � . _ FEE: � � I <br /> � `� � f r= ; <br /> � . ' ELECTRICAL: y /�^S ��� I <br /> . � TOTAL.•FEES: / I ��/ � <br /> • . � <br /> �Gt�.(..1�-' .!C/'L/ . tJ�-'v�- ln�..C) l:i" .d''i--:L�cj�,.�fr% ,�.: . � i <br /> ...:� +�� . j - �r ' � t , ..���! . . r�` � � <br /> . �, �i {°� <_ - <br /> �. <br /> ' � � 1�� � Z'7� ���- <br /> � .. <br /> . �. � �, � ! ,j�! {' � � :i <br /> If - - . <br /> Signed ��� �'`� ,�;�� i� .\'�,,/� Owner <br /> � " <br /> �Contractor �'� :• • • • • � <br /> License No. _ � �\f��l� � <br /> � ,��:�:�f� c/�yc.�'CG._• <L'�'�,".. . .�\rf'1- �� <br /> _ <br /> __�, �e� ` — - — <br />