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SIGN PL11'P APPLICATION <br />SUBMIT EVIDENCE THAT EQUIPMENT <br />CONiPLTES WITH TIRE STANDARDS OF <br />AN APPROVED TESTING LABORATORY <br />INSPEC-PION OF SIGN REQUIRED <br />BEFORE ERECTION. <br />CALL 2.59-8745 FOR INSPECTION. <br />7; /< • a' �- L' APPLICATION DATE <br />ADDRESS <br />The undersigned owner hereby agrees to hold and save harmless the <br />City of Everett from any and all claims for damages that may arise <br />because of in.^.tallation of the improvement hereto applied for, and <br />further agrees to remove same upon notice from the City to end to re- <br />place all public property damaged thereby. <br />VALUE: a . <br />CIRCUITS: <br />FEE: <br />ELECTRICAL: ,,5. bO <br />TOTAL FEES: <br />SIGNED <br />�ll OWNER <br />CONIRAGTOR �lMLO SICntJ , ti <br />LICENSE N0. <br />