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i <br />s <br />, <br />s" <br />; <br />i <br />SUI3MIT EVIDI'riGE: TIL�'.i �QUIY:��[GN'T <br />CO�.YLIL'S �VITH THE STANDARU� uL' <br />TH� UIvDrR�VI�ITLRS' L:1130Rt\TORY. <br />INSPF_i,TION Or SIGN R�QUIRLll <br />B�Z'OR� I:Et�CTION. <br />CALL 259-5745 I'OR INSF�CTIOr1. <br />Datc <br />10-14-j4 <br />APPLICATION I'OR l�ooden si�ns c..'�� /C�EI(_S �lQ���G,! <br />ISIZ J �j2Qa�c,v-�' �— <br />The undersigned ow�ier i�ereby agrees to liold anci save harmless thc City <br />of Everett froin any and all claim:; for damages that m.ay arise because of <br />installation of the itnproveuicnt herct:u appliccl for, ancl f.url:hcr agrees Lo <br />remuve same upon noCice from the City and to renlare� 111. public pi•epe_tJ <br />ctama�ect thereby. <br />VALU�: �✓'�. U` O <br />Signed <br />ci <br />,; � <br />CIRCUI'CS: <br />Owner <br />tc-,CK tt� Contractor <br />