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<br /> SLiB�4IT �VID?:NCE TfL�T EQUIPA4ENT , �
<br /> COn1PLIES �1'ITH THE ST_�NDAP,TDS OF . /y �
<br /> TH� UNDER�9P.ITE1tS' L�LORATORY. �/����7G
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<br /> IIvSPECTIOPI OP' S"IGN R�QUIRED- •
<br /> E�L'ORE E?:ECTION. ' � ' , "
<br /> � • GALL 259-87�5 L'OR INSPEGTION.
<br /> � _ ' .
<br /> '+: . Date
<br /> , '
<br /> APPLICATION FOR Ti� �'-1, ,S' i��?r� :/\/S/!.� ! ':,- „ _ '.,'�>� L'-1, . ' '�' �c'/:�G' ;
<br /> • i
<br /> The undersigned ow_ier nereby ao-ees to hold and save harmless the Citv
<br /> of Everett from any and a21 c�zims ior damaoes that n:sy ar?se because of
<br /> installation of the improvement herFto appiied for, .and furEher agrees to
<br /> remove. same upon no'tice irorn the City and Eo replace 311 p�1}JL1C property
<br /> damaged thereby. .
<br /> � , _ ' 'VALUE: . / G'7[7 +-
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<br /> � Signed ��'(/�/�ZY`� '�.� ;' _ , Qwner
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