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szrx rrRrsr2� r�r��r,zcn�rzox � � � , <br /> ' SUEI4IT EVIDEI�CE TIIAT EQUI1�!•fPNT • � 3 9 � <br /> CO.,PLIES W]:TI! iiiG u'PANDARDS OL • • ,/�7� � ' . <br /> ' At7 APPRGVI•:D 'PES'PI1vG L7�13UR1T012Y. <br /> Tl7SPECTION OP SIGN REQUIRI:D • ��9/� <br /> : ,rORP IiP,T:C7'ION. . <br /> ( '�LL 259-8745 YGR 7ISSPECTION. " <br /> • . ' ApP1S.cation Uate y a.- ��� <br /> ADDI2BS5 1�Q 7�Ti.'cUii/ iyG� . . . <br /> The under.signed owner hereby agr.ees to ho�.d and save harmles� ihe <br /> City of EvaretC from any and all claims fo�: damaqes that may ari.se <br /> because of 9.nsL•allation oi the improvement hereto applied for, and <br /> fuzther agrees to remove same upon noti.ce Lrom +•.he. City and to re- . <br /> ' piace a7.l� public property damaged thereby. , <br /> ' . . . ' . ' . . • VALUP: � �.7-d� p� . . . ' . <br /> r. <br /> ' � . .::. :. . : CIRCUITS: _.__/ � . <br /> . ��;:�' 'r��:: . `.�, s.o . . . <br /> : ;; . .• -, .•,. . �L�c��r,rcnL: �: mv - � ' <br /> , � ' � . z�oz��w.�rLss: 1 p . •" .. <br /> . .. . . . � . . . . . . . . : . . .. . . ' M:.� <br /> � , . � . � ' ' � ' . . � . . � . ` � 7 /�////�� :. I <br /> �// 4T <br /> . - . . . _ . I . . <br /> W <br /> / <br /> � <br /> � � � � � �� - r�:rT��%yEt� �/1,_ . . � �: <br /> : _ ��.'�r-� - . <br /> . . .. . ,: <br /> . . ; . . . <br /> . . . $�'� � � . <br /> , . <br /> �(-.���-?.? � . . � . . � . . . . � <br /> � <br /> �-�i i/?� r� .. �_. � . � . � .� _. <br /> . � �'�h, `�i.4�,�. . � �. <br /> 9 ' '� -�r�L:�C���c� ' . ��L '�.� Owner <br /> Si ned � a � � ' <br /> Cont.rar..toi '��T'�;�/I,�= :���- �Bfl� .. . <br /> Li.cense No. �' �s�.u� ' S��.��.-�e�-`SG 7 _..._._. <br />