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• SIGN P��IT ApPLICAT2UN r <br /> SUBt4IT EVID�NCE THAT EnU2PD1ENT <br /> COMPLIEg WITH TIIE STAND}�RDS OF <br /> Ar7 APPROV�D T�STING LAgp�TORY, <br /> INSPECrjON OF SIGN 22�nUII2�p <br /> BEFOR� EI2ECTION. <br /> �'9I'L 259'87�15 FOR INSPECTION. <br /> �� <br /> ����j�GCJ' ��i�P�cation Date ��ZC�- /�� <br /> ADDR�SS ��� � ��u� <br /> �� G�6 � '/'/ �/-'n. <br /> The undersi 4 ����r` `���" <br /> 9ned owner hereb �'�/O!-f' <br /> City of �verett from an y a4rees to hold <br /> because of installationyofnd all clair�s and save harmless the <br /> further a the i for damages that may arise <br /> place �rees to remove same mProvement hereto <br /> all public propert upon notice from applied for, and <br /> Y damaged thereby, ihe City and to re- <br /> VALUE: ����G��' <br /> CSPCUITS: � <br /> ,t <br /> FEE: � 3. �v <br /> �LECTRICAL; `� ( � v`� <br /> TOTAL FEES: � `-� . v�-' <br /> � <br /> ;j �-�� �' .. � -� , . <br /> si ned��lL' �`� i /�i� /Li/JJ(, <br /> g �j /�;/�G /JLC-C`)/G _ - =z�. ,C1���J �J�i?� <br /> ,,� � , w _ � f-� <br /> �"' . '-' ��;'GL�Z`� � <br /> Contractor �.,, , ., � ` =�, C Owner <br /> ;'/.�,,�� <br /> `� `� „�� ^ EVERETT SI <br /> .License No. 2778- N . .� • `,,, <br /> -�� 1�h ST. PN. 259-441J <br /> ��Gd� �� <br /> L�G'1s+7.� <br /> � _t�f. lSi.e. r, . i.� Y - f�. , C <br /> —r_• . <br />