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. <br />SIGN PERMIT APpLICATION <br />SUBt4TT �VID�NCE THAT EQUIPM�NT <br />CO:dPLIES WITH TFiE STI�NDARDS OF • <br />AN APPROVED T�STING I,1,gpI�ATORY, <br />INSPECTION OP SIGN REQUIRED • <br />BEFORE ERECTION. ' <br />CAI,7, 259-8745 rOR INSPECTION. <br />. <br />Application Date ,/ �� ]��7C <br />ADDRESS ��2 / — ;e � rt� � ^ <br />,l <br />The undersigned owner hereby agrees to hold and save harmless the <br />CiLy of Everett from any and all claims for damages that may arise <br />because of installation of the improvement hereto apptied for, and <br />further agrees to remove same upon notice from the. City and to re- <br />place all�public property damaged thereby. <br />. . , • . V11LUE: c� C'd� <br />s . CIRCUITS: � / <br />' , . :t. ': . ' ' ... FE�: �` • �i �' f9 f� <br />. _ ' ' I;LECTRICAL: 1 � • C' � <br />• TOTAL • I'EES : � Cp � ,g c <br />0 <br />�z- z r _ �� .;��� <br />t-, .<- . � z� z z j-, l, <br />Signed �� <br />Contractor <br />iicense No. <br />� � �----+� <br />� . II � .' , <br />a' <br />r q'.;,.� <br />C.��E--� <br />`9, <br />�l!l�� 12/Z7 �T �. <br />�LtvJ�E65h. <br />� / <br />,� onjG� G,occ.�c;l-- <br />~�- <br />Owner <br />