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SIGN PERDIIT ��PPLICATION <br /> SUISMIT EVID6NCG T1NT L•'QUIPAfE1T <br /> COMPLIES WITII TNE STAtdD,1�DS OF <br /> AN APPROVGD TESTIrG L4BOBATORY <br /> INSPECTION OF SIGN REQUIRED <br /> REFORE ERECTION. ' <br /> CALL 259-8145 FOR INSPECTION. <br /> APPLICATION bATE Z '� S�/L 7� � <br /> ADDRESS 7�0 2 FQ/ O�fI� /f vF� <br /> The ur.dersiQned cwner hereby a�recs to hold and save harmiess the <br /> City of Evere[t from any and all c'Lair�s for damages that may arisc <br /> because of insL'allatinn of the improvement hcreto applied for, and <br /> further a�rees to remove same upon notice fr�m thc CiCy to. and [o rc- <br /> place all publi.c property damaged thereby. , <br /> 00 • <br /> VALUIi: ��b . <br /> CIRCUITS: � <br /> FEE: <br /> F:LECTR ICAL: <br /> � TOTAL FEF.S: - <br /> ���C�� <br /> ���w�N� , , . . . <br /> Y� 7 �- Jr • <br /> . SIGNED i�'�^ ` �� OIJNER . <br /> CONfRACfOR �C�' O"�/�C .,y�.� /ivC. <br /> --� <br /> LICENSE N0. ' <br /> � /, /l,��� � <br /> `/���t�/l�+o.i�---' { [S' >Y•� �ln�,.L . <br /> 11 <br /> • P <br />