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szci� rr2u�i1� t�ri�LrcnTION � ` <br /> ' SUL'?4IT E\�IDEC7CE TIiAT IiQUIPAfL•'NT ' <br /> ' CO::F'LIE> 47I'PII i1lP:. STANDAI;DS OP • • • <br /> Ati APPROVL•'D TI:SPZNG LAIIORAT012Y. <br /> ' Ii7SPECTION OI' SIGI1 REQUII.1'.D • <br /> BEFOI2P ERIiCTION. <br /> CIsL7. 259-3795 POR INSPTiC9.'ION. " <br /> • . Appli.cati.on Date ��i� < �� <br /> ADDR�SS �l�tS c��liTT�,f��- . . ' <br /> T}ie undersiyned owner hereby aga�ees Co ]�olcl and save liarmle�s t}ie <br /> City of: Evcreti: ir.om any and all cla.i�ac� for damages that may arise <br /> because of i.nstallati.on of the improvement herE:i�o applied for. , and <br /> furiher ayrees to remove same upon noti.ce irom thq Cit-y and tc re- . <br /> ' place all� public pruperty damaged thereby. , <br /> . • a . <br /> . . . . . ' ' . � vnLVE: ��3 0 — . . . . <br /> . . � <br /> , � � , . ..:, . . . � .. ,. ciRcor�rs: " / ' .. <br /> . ..�. . � � <br /> . . ..� ' .. : 'Fs�: . . � , . <br /> . , . � ..., . ELr•.c�rr,rc�L: .� r�u... , _..�. <br /> � . . : . 1 � . . �� . . <br /> . ' . TOTnL,.•rLLs; -- � <br /> � . . . . � . . . . � <br /> . _ , _ . . ��� <br /> . . . . • ' . . • I,/ � } � } <br /> . . , . . ,. . '.� <br /> �• . . � , �_�_Zg .��� ~: i <br /> . . 4� ' . / , ��� :, � <br /> . . e._,, — - ��� <br /> . � � . . � ; ;. ���h�� �: <br /> (�, .. � ,o°. � -,i� j - , <br /> .� � <br /> � - �• � <br /> �� , ' . . . . . c <br /> I4� � <br /> `� <br /> � ' ' _ • . �uc5 � • ' : _• <br /> �. . . . . <br /> � . . <br /> Signed ' � `/�5 �����/l �/ y� �/� ��, � ��wner <br /> �^� Contractor ;�LN'-�'��'_-_�%TL=_.�'/�/YS _�� ' <br /> Liccr.se No. 1�3 - c> 7_ - •5145 L� , , <br /> � ' �� • . • <br />