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SIGN PERP7IT ApPLICT�TION <br />SUBt4iT EVIDENCE THAT EnUIPD1ENT <br />C0I4PLIL•'S WITH T}iE STANDARDS OF <br />AN APPROVED T�STING 7,I�gp�TURY. <br />ItJ�PECTION OF SIGN REnUIgED <br />BEI'OI2E �p,gCTION. <br />CALL 259-6745 FOR TtdSPL•CTIOt1. <br />Application Date (o" � �i - �� <br />�n�ss ._t-��F2/�T' ��;� r <br />The undersigned owner hereby agrees to hold and save harmless the <br />City of Everett from any and all clair�s for damages that may 3rise <br />because of installation of the improvement hereto applied for, and <br />further agrees to remove same upon notice iro;n the City and to re- <br />Place all public property damaged thereby. <br />� VALO�: �C� i�J ['I ��— <br />CIRCUITS: � � <br />,. '. . ' FE�: �o <br />�- <br />' ELECTRICAL: Y�,� 6 � <br />TOT11L • FEES : / / �� <br />��' sT/�G � ��,�� <br />�'�- �/z`f� ! /�(�S / /7.E <br />� �� <br />� l � � � �-/� �`/_�� .� S <br />� <br />.-i r �' <br />Signed � ��- <br />---�_ <br />�Contractor �� � <br />liicense ,70, .� � c <br />� <br />�.'�. ,1'i._i <br />S/t-'%' o,:= <br />/`,�/�G L <br />/ '�/�v/C�/�.� � <br />!"�,-/�- ��/2/,,� /-- <br />�� �� <br />� �-� � <br />� <br />. ^�� <br />��_ Owner <br />