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SIGN PERMIT APPLICATION <br />SUBI4IT IiVID_^•,NC� TIfAT ,�QUIPPiENT <br />C0IQPLIES 14ITIi T13� STI�NDIIRDS Ol' <br />A?7 APPROVGD TESTING LAIIOReITORY, <br />Z17SPLCTION OP SIGN RGQUIRED <br />BEFOI2E L'RECTION. • <br />CALL 259-8795 POR SNS1'ECTION. <br />Application' Date �Z/l�/�� <br />ADDItESS �•Z I�% %.-: Vl�C2C{L�,t�l� �)AY <br />The undersigned owner hereby agrees to Lold and save harmless the <br />City of �verett from any �nd all clair�s for damages tl�at may arise <br />because of installatiun of the improvem�nt hereto applicd for, and <br />furiher agrees to remove same zpon notica fr.om the City and to re- <br />place all public property dar.� 7ed thereby. <br />. . � VALUE: $",j-'G2'�-� <br />CIP.CUITS: !��/�, <br />F�E: � g, OL'� <br />' ' �LECTRICI�L: I ; d U <br />TOTI�L FEEs : <br />�Z_,?I-ZC� �ce� <br />� <br />,,,� IL. c .. �1/ z -�� �b . <br />`�' U1 . ��`"'� t Z (Z`t �Z S'' <br />Sir,ned <br />/9. o 0 <br />Contractor ��� � • <br />License No. 2�3-o?-�Q--I-er.�-�c-z.y'S�lJZ. <br />Owner <br />c <br />N <br />t <br />