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, . sxc�–rri:rir•r nrr�ic�,i•xo» _ <br />.J <br />sur.i�r.T rvr.rn::icc xnr.r r�luzr.��T:rr�' /�-i() �f (.t d� ./�.,• <br />� CGtfL'1.Tf.:; 41I7.'ll '1'i1C STAIIDARDS OF /�_ <br />A17 AP7'k0�'ED TES'CII;G LAL'UIL�TOR'I L'/�`� �l� ��� ./G�" ��' <br />� ��, ; , ::� ; �. : , ��1 /� <br />Ii1SPF.CTIO�l OF SIGI7 REQUIRED • " % / �', <br />BEPORii IiP.TiCTIOt�. � ' , `_i{..(v!! ' <br />C6LL 259-u71i5 POR INSPGCTION. � <br />, AYPLICATION DATG �� ` I� <br />ADDRESS <br />Thc undersi�ned owner•hercUy agrecs to hold and savc hannl�ss the <br />. CiCy of Everel-L• irom any.and all clains for dmaages that may arisc <br />� Uecausc of insCallaCiom of thc improvemenl' ticreCo applfed for., and <br />.. � furCher agrces L•o remove same upon notice�fror� the C'i[y to r.r.d L'u re- <br />place all public property da;naEed thereby. <br />� <br />ri Cr . <br />vA�.ue : � %�� �— ' <br />CIRCUITS: / <br />PEC: �p ' �� <br />: C� ' � <br />EL£CTRIGIL: `� <br />. •. <br />TOTAL FEES: II ' _ <br />:. /✓ �c��� <� <br />�� � � <br />,.,.� <br />fl�Ji'�'�,�� ��, ; � ' _ _ <br />''�' j'A:' . �% .�'�. . <br />,.. +,� ,, <br />�----= -�— __ -- ' �) <br />S �� .OLd f P/� _ <br />0 <br />• CIGNED ,� �--� v��� e_��. - l(��/� ���,j�(,p� OIdNLR <br />J <br />corrrr,ncro ; �, !� �� – � � ��� �� °, • <br />. , . � . <br />�.zcr:t;si: t;o. �� � �n � –�, � Z a�5 F�t.� . <br />. ` <br />`_ � �! �'��. �� �r''- '- `� �� i <br />; 1 �.�,�� �- ;.,. _ , _ <br />� <br />� � � � !1 f �? �-� <br />C� '` �' � <br />. NOV 1 7 i;?i3 <br />CITI� OF EVER;=Tr <br />lnsp��::ii,':� u�.;:;. <br />0 <br />