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SIGN PE�MIT APPLICATION <br />SUBMIT EVIDENCE TI1AT EQUIP!lENf <br />COMPLIES NITIi TFl6 STA�'DARDS OF <br />AN APPROVED TESTIrG LABORATORY <br />INSPECfION OF SIGN REQUIRED <br />BEFORE ERECTION. <br />ChLL 259-8745 FOR INSPECTIOti. <br />�'j � �� <br />ADllRESS <br />APPLICATION DATE /=,'G �- � Z �I r'/ %� <br />The undersigned ownez hereby agrees to hold an3 save harmless the <br />Cit:y of Everett from any and all claic�s for damages that may arise' <br />because oi installation of the improvement hereto applied for, and <br />fcrther agrees to remove same upon notice from the City to und to re- <br />place all.public propett:y damaged thereby. <br />' vaLUE: �3, uv o <br />� <br />3 <br />3 <br />� <br />� <br />� <br />� � �o�� w�� <br />r ' <br />� ,Lyc• t�� wt� <br />J <br />/� � G�' 5,�- , <br />CIRCUITS: <br />� CS-U <br />FEE: �_ Z � <br />ELECLRIC.IL: ��: �� <br />' V^"LJ <br />TOTAL FE'.:S : � <br />a <br />SIGNED �� r C/ \ �u�/�— OFINER <br />CONfRA(TOR _�G�e^'���'''� �"'+u= i C��u' I V'-\ <br />I n <br />LICENSE N0. �C -��E - R G� Z ySJ '`— <br />w <br />0 <br />, ��;� ,. , <br />a <br />