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� <br /> , , <br /> ' %�i d �" . <br /> Si31�\4IT �VID?:NCL TI�LOT EQUIPA4�NT ' , 9�7�� <br /> COAIPLIES WITH TH� S7.INDAP.DS OF , <br /> TH� UNUERWP�ITEI2S' L�1�ORe1TORY. ' <br /> L:SPECT70N OP' SIGN REQUIRED . <br /> � E�P'OR� ERECTION. ' ' � • <br /> • CALL 259-87�15 P'OR IIVSPECTION. � <br /> i - • <br /> � . Date ��hT, IZ. InJ7� <br /> i . <br /> APPLICATIONFOR 21C-1c E�)E�ETT A�; �. � <br /> : . The undersigned o�vner nereby agrees to hold and save harmless the Citv <br /> • of �cereti fron any and all claims ior damages that may arise because oE <br /> installation of the imgrovement hereto appiied tor, and furti�er agrees to <br /> remove.same upon notice irom the City and to repiace all public propertp <br /> damaged thereby. , <br /> 1-_ , vALUE: � o o — <br /> : _ , — <br /> - � ' • CIRCUITS: �� . <br /> 2 � ' . <br /> i • • <br /> � • ', . . <br /> i . . . . - . . . . <br /> � . � .. �. . . . �_ .._ . . ....�.: . . .��:,: � . '--. .:" � � � _. . _. -. . .. .. . .�. .. . ...... .. <br /> � .. . � . .. � . . . . . . . . . . . . . � .. � <br /> � � .. . � . . . . . . ' � .. � '. � � , � . . � - � ' . . , <br /> � . � . _ . . . . - , . . . '. . . . • .. � . � . . � . <br /> ps . <br /> F . <br /> , . .. , . . � . ` <br /> / <br /> . . . .. .. . � .. . � . . � i <br /> � Signed FC`l�[��:1 Eh 1 �� . Owner <br /> 0 1 Contractor <br /> P� � ;�. ,. _ �"���� . <br /> � - . _ - � . ��y , � N. <br /> � ��n �� , '�. tL.. - �. c . •4/iv/ � >'- �%, ' � • �� <br /> j . . . . <br />