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. SIGtd PERMTT APPLICATION ��/— ��z <br /> �✓� <br /> SUBt4IT EVIDENCE TH71T EQUIPD7ENT <br /> CO:QPLIES WITIf TfIE STANDARpS OF J/s/� <br /> A27 APPROVED TESTING I,1\BORATORY. <br /> INSPECTION OF SIGN REQUIRED <br /> BEFOR� ERSCTION. ' l <br /> CALL 259-8795 FOR INSPECTION. ✓ j <br /> ��1 / <br /> PP �� /% %f <br /> -, A lication Date / /,/ � �(% <br /> �i/�/G/�����U ji��%-�it/ _ �j.Kf� G <br /> ADDR�SS �� �� //C'LU/T7 /�I�� � .SlG�(J <br /> The undersicned owner hereby agrees to hold and save harmless the <br /> City of Everett. from any and all claims f.or damages that may arise <br /> because of inst.allation of the improvement hereto applied for. , and <br /> further agrees to remove same upon notice from the City and to re- <br /> place all public property damaged thereby. <br /> VALUE: ���c� ' <br /> CIRCUITS: � <br /> FE�: 3•P� ��- <br /> �LFCTRICAL: � - e� �F�7' <br /> TOTAL FEES: 4•� <br /> `:��� <br /> • �� ����� Si ned ���Gi:��>v Owner <br /> `- .,4 g / � <br /> � <br /> � ��� Contractor _ ��T7 G�v ��; <br /> � <br /> License No. /� ���� �'� lL�1.r=� <br /> �i�I�> <.. ;i:< �"�. � r l�� /,j��fJ�,�`�+"*���' '�"/�'CG/7�' <br /> G� <br />