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� <br />'�t7 PERMIT AP:LICATIOti "'1 <br />SUBb1IT EVIDENCr TlLAT F.QU7PDL�:NT <br />COMPI.If S F:ITll Tt1E STAt:C.'.i:DS OF <br />At7 APPROVED 1ESTIICG L.IPOBATORY - - <br />INSPF,CTIOt: OF SIGI� REQt1IP.ED <br />BEFORE ERL•'CTIO�. <br />CALL 259-5745 FOR INSPECTION. <br />APPLIGITIO� DATG _ <br />� <br />ADDRESS I2. 'L''.� F�(,; /r:L<' : . . : � . - <br />/?/�.'� � i j ;,� �: : �. �. � ...: <br />Thc undersi�ned c•aner hereby agrecs Co hold and save harmless the <br />City of Fverett from am� and al.l cl. ins for damages th. c may arisc <br />heca�se oz installation of Chc im�rovement hereto applied for, and <br />further a�recs to remove sane upon noticc from thc Ciey to.nnd to rc- <br />pincc all publir. proper[y damlged thereby. <br />, <br />�'L ,_, _ 1 � <br />VALUE: ���__ <br />CIRCUITS: ' �� � <br />FEE: / � . Ed <br />£LECTRICAL: ' S' BU <br />--�—� — <br />TOTAL FEES: � ��r _ <br />/, l/» / I � � 'i �' � <br />n.. �� ., ,� <br />\ , � 'i �("`..i <br />' �� , �:. i,' . <br />� � <br />I ! , <br />� <br />1 <br />� <br />� <R!l ^,!° i ; <br />--- -----------'------- _ <br />i <br />/��%� '�< . <br />i �,`:' <br />0 <br />__�__.. _.._� <br />� <br />� �j L FXo <br />S/6 N _ � � %�� <br />vP � <br />__'__'_ __— . -.��-�.T' <br />Ev�',�.' G, iI r",.= ,�. �.� p�-j . <br />���GLIL.fi Z/8/7 � <br />Z— c'�'- 7 � <br />SIGNED �.( �!/ � � � �--�-') / `� � ��-�`t7 �'" � l OWNER <br />� � <br />CONTRAGTOR � ' ' _ ?_/•'�7 l- �, ' . <br />LICENSE ti0. - -'. � . <br />�� /�i` ��G✓ <br />`/1 c'f� / <br />iti.', :- c' .,, i, <br />