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SICK PERMIT APPLICATION <br />SL"aMLT.T EVID :MICE VAT EQUIMEN <br />COMPLIES trot THE STANDARDS OF <br />AN APPROVED TESTING LABORATORY <br />IkISP�CTION Or SIGMI R-' UIRED <br />1:E1-70'E ERECTION. <br />CALL 259-3745 FOR INSPECTION. <br />APPLICATION DATE <br />ADDRESS <br />The <br />undersigned owner hereby <br />agrees to hold and savcAiarmless the <br />City of <br />Everett from any and all <br />claims for damages that may arise <br />hereto applied for, and <br />because <br />of installation of the improvement <br />the City to and to re- <br />r <br />further <br />agrees to remove same upon <br />notice from <br />p).ace all public, pivperty da..3ged <br />thereby. y� <br />tt <br />VALUn": ��Dv" <br />CIRCUITS: 3. <br />1 <br />FEE: <br />t <br />ELEC3RICAL: <br />r, <br />TOTAL FEE`.•: <br />r <br />t <br />b <br />i <br />• CONTRALTO° �f n�ic� ��IL"/7% � <br />LICENSE IIO. <br />