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,.�",�CaK`.�. <br />�; � <br />na <br />� YH.i: <br />"'1hi. <br />_ s'"~J.__A_s.�.fc�T_�vpou�.► �. �1 . <br />�UBMIT EVIDENCE TiI4T EQUIPMENL' <br />COt'lPLIES HITIi T11E STANDaRDS OF <br />AN AYPROVED TESTIRG TABORATORY': <br />INSPECfION OF�SIGN REQUIRED <br />BEFORE ERECTIt1N. <br />CATS 259-8745 FOR INSPECTION. <br />AADRESS <br />• /IPPLICATION DATi. �� ��� <br />�/��/f'l /�cJ/1 � � --__� <br />Tl�e undersigned ovner hereby agrees to huld and save harmless thc <br />Cit•y of Everett from any and aLl ciaims for daroages Chat may arise'. <br />because of installatiocr nf th�e improvement hereta applied for, and • <br />fc:ther agrees to remove sama upon notice from the Citq t� and to re- � <br />place all.public property damaged thereby. <br />. � u� <br />• • VALUE: l�� . <br />. . � • CIACU.LTS: , .� N F -_�,. <br />. . � F@E: � � v <br />. . ' txEcrxicn�.: ' y.�s - <br />• ' ' � TOTAL FEES:. <br />f>.nMxrs _ ' 41i. iJ . . • . . • � • <br />I • . <br />I• � � � • . � '� <br />, • . � . <br />. . • �� • I � <br />�D �� - � . <br />� • . . r�, <br />• � <br />� . �� �� ����� �g� <br />SIGNED �•rI•R/f'i� rS' 9"�. �fi9f2 �ISQ.�C- OSiNER <br />CONf[tACPOR � �'A-�,`� �/, (�•_ /•✓G - <br />' LICENSE N0. — • <br />`��-��-� �o,�✓ • <br />. � � - <br />;�' , <br />� <br />.�, • <br />l�•h M. <br />. . . ::, <br />. '! <br />' -i <br />' �1 <br />• �i <br />i <br />:- i <br />