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SU13MiT Ii:VIDENCi. 1'IIAT L•'QUIPi\�1GN� <br />GOMPLII�S W1T1-I 1'1f1� tiTANpARUS Ol�' <br />TI-IL; UNil7i1tW121TIjRS' LA130RATORY. <br />I[VSPliG i IOiti` O.i SIGiV RLQUIR�D <br />I3�I'OR� �RECTION. <br />CALL 259-8745 FOR INSP�GTION. <br />� �� <br />3 bV:3C'I 7� <br />Date <br />APPLIC.STION I'UR :iIGPi t��},]•1IT 1�A";i�'S i10��:;.� ���;r1��i�S133'liid 'r1P.Y !;�/��'�;�:�'P <br />Thc undersigned owner hereby agrees Yo hold and save har��less the City <br />oE L:verett from any and all claims tor damages that may arise Uecausc of <br />installation of the improvement hcrcto applied for, and furtiier agrces to <br />remove sam+; upon notice from Lhe Gity and to replace all puUlic property <br />damaged thereby. <br />�— "' <br />CI�I�nL �; <br />_0 P?�OP. LT� <br />f__ � i <br />I <br />Signed � <br />S, <br />�.�. ILf�Q�Q�c(!t� <br />�;�,��.., v. �. r�.�` <br />e <br />10' <br />VALU�: ,%1�0�,CO <br />CIRCUITS: � <br />Ui,i'� Ol�' b;L�.'i'ii�?t �:'�.D TL` BUILDIiIG <br />Cio:JL' I .iL'J:.; ]:?� l0 .' <br />� �.YI�;-'IiC(r FOL�' <br />� n'f1 <br />f � O.T. <br />� o r <br />� , O Cj <br />i O ' � C� <br />��n� <br />��sn�.a <br />i�, ��1��� � i��'� �p� <br />7 j9' <br />� �,. N+= <br />� <br />(�S'� � 4�.i <br />-i• •— -_i `,�r^ <br />- - - - - � - - - - - - <br />� ,ar�. <br />— ' <br />U:i'� OP O-� n•�!� �j(:;��5';l:i � ��. J <br />� ��� <br />�XISPING �+" 3]A�IY ':!FSL PO'L3 Ptie;S:SiiiLY 3UrPOT?:PIi;G <br />A l�' 6" X �� �" DOUBL?�; PACI� 5^iLGL :;IGIv �68,�S�;S P'1'� <br />Riy/0'JIP;G T��CISTIPIG SIG1Q fc i'd0UI4TING9 fi'XB�. (6`ci an F�1� <br />FS�UAiII�Uf4 Dr COitSTP,UCTIOIJ, ' <br />D�TAZLS PY.PLAIIVED TO K�Id <br />Owt�er <br />- �J-.Z�Tt f«f //L � /�/`f- ,3.5.3- iOJO Contractor <br />��o��� i✓c� lC�k'7`IG�,�' E)�- S�c,�y rC� P�c�JEz�r <br />i3�lc�ti-v P� Fu E��7�s L,� u� �i=zx�r,� c�.f <br />- �r�:r�� �i�r. <br />��-�,�- �- _ �. <br />