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I <br />I <br />SUBMIT EVIDENCE THAT EQUIPMEN'J <br />COMPLIES WITH THE STANDi %RDS OF <br />THE UNDLRW1t1TERS' LABORATORY. <br />INSPECTION OF SIGN REQUIRED <br />T�EFORE ERECTION. <br />CALL 259-8745 FOR INSPECTION. <br />Date <� — ( % q <br />APPLICATION FOR L C S I <br />The undersigned owner hereby agrees to hold and save harmless the City <br />of Everett from any and all claims for damages that may arise because of <br />installation of the improvement hereto applied for, and further agrees to <br />remove same upon notice from the City and to replace all public property <br />damaged thereby. <br />Signed _(-'� <br />62--21- 7 ef- <br />I <br />Lv S <br />a <br />VALUE: / pQ <br />CIRCUITS: <br />Owner <br />Contractor <br />� V C- ;L/-7U <br />9 <br />