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0 <br />SIGN P.F,RMIT APPLICATION <br />SUBt4IT EVIDENCE THAT T,'�UIPAIENT <br />C0.IPLIES WITH TH� ST7;NDARDS OF <br />A� APPROVED T�STING L1IBORATORY. <br />/ �.� �.�. �� <br />s �'- . <br />��� Li <br />jo�5"�>� <br />I!iSPECTION OP SIGN REQUZR�D <br />EEFORE ERECTION. ' <br />CALL 259-8745 FOR INSPECTION. <br />Application' Date ��• f, /C� <br />�iL��1/�G iPi9l/�7C�% �S/C71� <br />ADDRESS �?��a�G'J h`/�L%!fU/ G/��7T <br />The undersigned owner hereby aarees to hold and save harmless the <br />�• City of Everett from any and all clair�s for damages that may arise <br />�ecause of installation of the improvement hereto applied for,, and <br />further agrees to remove same upon notice from the City and to re- <br />place all public property damaged thereby... <br />, ' VALUE: %�!G' � <br />CIRCUITS: /���� <br />FEE: <br />� " - ELECTRICAL: � <br />.�� _� � n,�x 2y . TOTAL FEES : <br />. 8 k. <br />—�-X �' <br />-0-T dX�' <br />.�— ---- <br />-cl-"� _. <br />Signed <br />��x � �-N �.�"�,; ls�_.�� C���i -7c-� <br />.-�L�- I-%Qc:= _N <br />.����1 ���-=��d" <br />, �rs — <br />��v�� ��-cc� <br />Contractor ",�„�:�.-•e�r.� r.��nonn+v <br />,211F.•19tfi St. PH. 259�4413 <br />License No. - - ..��� <br />e <br />� <br />N <br />