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� SUlSbli'f Ir:V1Ui�:NGI: 'L'l-lA'1 1:�!U1L'AQL:N" ' <br /> CC?b1PLII's5 �Vi7'Ii T111� S'le1NUA1:ll5 OL' ��P- �,( . <br /> TI-IL•' UNDL•'1tW1.1TL12S' L1130RATORY. {� � <br /> � <br /> in�si�rcTto�� or sicn� rtLQurl:�v %�%�,.� <br /> r,�roi:� �R�cTzoiv. <br /> CALL 279-8745 FOlt INSPi.GTI01T. <br /> Date �/ l J� � <br /> j APPLICATION FOR � ^ � � ' � . _ <br /> , p� ^ <br /> � . ' � �, . . � �.� ";' .: ._ `: L.. O %D/ �.r�E=n.? G.c�.L�,.'>->J .iv�..:.` ., _ <br /> ' � . The ,indersigned owiier ]iereby agrees to hold and save harmless t?:e City <br /> '. of �ve.rett from any and all claims for damages that may arise because oi <br /> installation oi the improvement hcreto applied for, and further agrces to <br /> remo�ie sam.e upon notice from the Ci2y and to replace all public property <br /> damaged thereby. <br /> r <br /> ' ``' _- VALlir.: i � <br /> ., _.. __ . . . __._- /'Gr�/ /r •'.Y'- � '�;, � . - <br /> U.��.- >:,�,; . cir�cuiTs: / <br /> I ��� ' �/ 'P. /"? lYll � . <br /> .�i � � � ��c4$'�/C �`�JG <- . <br /> � I� .�'vl'f'., /'��li�tiiJ'Yl. <br /> ' � I • � �//Jw /� � <br /> „ . _. . - :Jf:'� . . . . .. <br /> . . �i �� � l, "f� ; . . , <br /> ' � <br /> I ! ��`F�_�✓.!i�� . <br /> i <br /> i � � �/� �� <br /> . �. . �, . . ._---- <br /> � <br /> I � <br /> i , ._ '� I <br /> ; '_� �� j �.oi�/'<. ' <br /> � /._.. <br /> . � x <br /> iI <br /> � ' � r3/�l� . <br /> ; � <br /> � � _--- -- <br /> : �; -� <br /> i /--- , . -- -- �� "��—- -- <br /> � , _._-- <br /> ;� ' , <br /> ,; ;�/ C o-� �. s'X3�,�'c'� �,� <br /> ; � � I. j � <br /> f / . <br /> i �. ._ •.f. . ___ ' . . <br /> � . .`� � , . . � . <br /> I . _, <br /> i <br /> I <br /> I i - � <br /> � � <br /> 1 Signed ; , , i , n ;�i' ' ''�,"i' Owucr <br /> '" y Contractor <br /> j _ 7 � � _ �'b 35 - <br /> ! �o �o,�r,�,� OF•.��1- b�! TO � .���.,�y <br /> � �� - � ��,�4�o�r�e�r w�� <br /> j��,.�:,.���...--/.� z_ . �1 �S <br /> 4-�- �c, <br /> o. � .- �. � . �-/�9/-� �, <br />