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SIGN PIi2bf7T APPLICATION <br />SUBMIT GVIDENCE THAT F.QUIPME27C <br />COPff'LIES WZTI( THc ST�NDARDS OF <br />AN APPROI�ED TESTIi�G L190P�.'+TORY <br />ItISPtiCTION OF SIGN REQUIRED <br />BEFORE IRECTI0:1. <br />CALL ?.59-8745 FOR INSPECTIOtv. <br />ADDRESS 7 SO L <br />izj��/77 <br />.3767 <br />APPLICATION DATE lieG�c+�.JOe✓ �Y�!% <br />Tlic undersigned oc�aer hereby agrees to hoid and save harmi.ess the <br />Gity of Everett from any and all clains for damages Chat may arise <br />becausc of installation of the improvement hereCo applied for, and <br />�urther agrees to remove sane upon notice from the City to und to re- <br />place a11 pubiic pioperty damaged thereby. <br />VALUE: �,� UU v <br />SIGNED <br />� <br />Nvf 7��u'^�-- <br />y,-, ° � �n„ti' S <br />�o�; �t� <br />qsiy <br />s�� L� ' A C c✓ � OWNER <br />. n �� <br />GG•i <br />CIRCUITS: � <br />�EE:. — I ol S/ — <br />� <br />TOTAL FEES: <br />li 'l(0'7� <br />/''L /�/77 <br />•.CONfRACfOR A�_Lrj✓�� Co(.t�i,ui��n � 'OtZS <br />LICENSIs N0. %iZJ—OZ'AC-�(E-IZL— %�I�� E�. <br />--' — � %� � /� <br />= —�� ,�` /` 1 ' l2a� �C.l�+c.s-_ . ��j, <br />%`G � �. <br />�cL-L � _ _�...�.�e-r.1:.c::,� <br />�. <br />