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SIGN P�lu•�IT nPPLICATION <br />sortazT EVIDENCL TI11�T .�nUIPD1ENT <br />cotarr,z�s wirii �ri�� STJ�Nll7�I2DS or <br />At7 APPROV�D T�STING LABOR}1TORY, <br />I1iSPECTION OP' SIGN RCQUII2�D <br />BEPOR� L•'RECTION. <br />CALL 259-g'7q5 LOR SNSPECTION. <br />ADDI2ESS / Z Z � • � �� <br />Application'Date <br />The undersigned o;aner hereby agrees to hold and save harmless the <br />City of rverett from any and a11 claiMs for damages that may arise <br />becausc of insi-allation of the improvement hereto applied ior, and <br />further aqrees to remove same upon notice irom t11e City and to re- <br />place all� public property dar.iaged tlier�, . <br />. . VALUE. G��`iL��� <br />CIRCUITS: � <br />,.. I`liE: �i�• t'� C.� <br />� ELECTRICI�L: /. �.0 <br />7.'OT71L PEES: Z5� �� <br />7A t•t� � c� �f � K( SZ--(tVG '� l G c�4 A c�( U <br />/ZE�QVI L.-D i�F'1C('C—Tp—�Ael� 5'r2U�rvCZ� ... <br />F�t 5 � �'-f o wt�C <br />'Y' ��vt�. r 2cc�t �� <br />'�_�S-2lv ����' <br />�`{� ����v l fll � j7�' <br />Signed <br />Caitract <br />c�K f,-� � F-�cr.{�D _DrA�tZ��r`t <br />�;����C�I'' �� <br />J <br />��0� :1 �J�U <br />CITY OF EVERETT. <br />Inspection U::pt. <br />Licensc Nc,. L z3 -az•-,�c- �-e�. - 2G -� �� J�2 <br />er <br />