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SIGN PERMIT APPLICATION <br />SUBMIT EVIDP•.NCE THAT E�UIPtlENT <br />C0:4PLIES WZTH TIi� STI�NDARDS OF <br />At7 APPROV�D T�STING LAIIORATORY. <br />INSPECTION OF SIGN REQUIR�D <br />BEFORE ERECTION. <br />CALL 259-8745 FOR INSPECTION. <br />Applicatiori Date <br />ADDRESS <br />%��� • <br />/�3i( %` <br />���� 3.��f <br />The undersigned owner hereby agrees t:o hold and save harmless the <br />• City of Everett from any and all clair�s for damaqes that may arise <br />. because of installation of the improvement hereto applied for,, and <br />further aqrees to remove same upon notice from the Cizy and to r.e- <br />nlace a11 public property 3amaged therel�y... <br />. . • VALUE : �`I G � � � <br />. CIRCUITS: I <br />t�— 8 �—'I ' <br />FEE: "j , o c�. <br />- ELECTRICAL: � � • �U <br />. TOTAL FEES : u- - �� <br />��Y � � <br />?lN� � 4• <br />''M � o� � <br />0 <br />I(-3-7,� �C� <br />����{���.� ..� � -�.�-�-�_ %> <br />Signed <br />Contract <br />License No. �- �, G Z <br />Owner <br />C. �.'� [: -' . 1'�� . <br />iZ.C. �i���"l� <br />� <br />a <br />