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GUB111VEVIDI' ,i-1: 1'I11.7 EQUll&r <br />COMPLIES N1111 TJL STAIIOARI F <br />All APITOVED TESTING 11,110RATORY <br />IIISPF,CTION OF SIGII REQUIRED <br />MORE KREMON. <br />CALL 2.59-8745 rOR Ivsi-CTION. <br />PuvS7ce SCz�J <br />I0)70L-E',t_ uf7f>fzr� <br />( P;wj & K r,. &) <br />RA-tjp`�As AI�I70 P/}l2tS ml,%ATION DATE /'r"� A t 7/ <br />ADDRESS <br />The undersigned evner•hcceby agrees to hold and save harmless the <br />City of Everett from any. and all claims for danages that may arise' <br />because of inctallation of the improvement hereto applied for, and <br />further agrees to remove same upon notice 'from the City to rind to rc- ' <br />place all public property damaged thereby. <br />`� r( VALUE: o� <br />"^f 4. id-:- CIRCUITS: ' <br />FEE: 3 to <br />ELECTRICAL: 5 " <br />CDC) <br />TOTAL FEES: <br />Mn-AQ,)&(r TAL t i P 0 <br />• .:. SJvv Itr <br />7 Siivn7 <br />i+* 14 <br />' , • I• �10`tCe f•*�" �7a1L16/14t5 <br />/ TO FtzAMe CB. Dc <br />SIGNED ��Lt✓t� i�L-ram.. c'�w. VirN?ICR IUbZI+ .jCi�vUi6S f� <br />CDNrRACTO. ��Zc77 / Co. �.� �i,�rf <br />LICEIISE NO. �` / <br />�,,��/�' �rw�--•— _��cu..— 5�3i/gyp <br />