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<br /> BIGN PERt�fIT APPLICIITION • � •
<br /> . . ����� ,
<br /> • _SUIIMIT EVIDENCE TITAT EQUIPI4P•,NT • 9/ 'f,3
<br /> ' C0:7PLIES WITII ?IIE STANDARDS OF - . .33 '
<br /> ' ,NJ APPROVED TESTING I,I�BORIITORY. '
<br /> ' INSPECTION OP SIGN I2EQUIIt�D , .
<br /> $EFORE ER�CTION.
<br /> , . CI�LL 259-f3795 FOR INSPECTION. '
<br /> , ' � . .
<br /> . ' Application Date 5���; i G • '� 7 �
<br /> ADDRESS /�J ' c-�!/c''�t%� .Q!/= . .
<br /> The undersigned owner hereby agrees to hold and save harmless the
<br /> City of Everett from any and all clair.ts for damages that may arise
<br /> because of installation of the improvement hereto applied for, and
<br /> further agrees to remove same upon notice from the City and to re- .
<br /> ' place all� public property dar�aged thereby.
<br /> • - . . ' ' ' . • VALUE: `�., ' �
<br /> . . � ���rs.� .�
<br /> • , - �
<br /> _ ' ' , . ,'.:, ... •. . . . . ,: CIRCIIITS• . / .. �
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<br /> . • ._ .�=, ._ :. . . , . F�E: � �2 mo _.
<br /> � . � . . , . �.. • :..�. r ELECTRICAL: S � � � �
<br /> --- - • . . - TOTI�L.•FEES: �� • � � � I
<br /> . .. . . - . . . .. '..;.
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<br /> '�l Signed �//lyy '�-Jc-Yc'x'� ` --- ._.�,_ (i�.,...� O�aner '
<br /> 11�. Contractor _ iH'rv�=R� r i=vo�/ f' �ti ��•� . l D,� ,c�� %n,���,-."� �,� � � . � ; �
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<br /> , r,icense No. �� �, - n >- i.-„-rPQ � 'I '
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