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1 <br /> .� . S'l.Cl1 I'GI:11i'l Ail'i.IC/;1'IUI7 <br /> ;;�t(;MIT I:VlUti:iCli TIL1T IiQUII'14L•1"f <br /> ; CO`rfP1.7CS NI'1'll 7'iIC STh1Ib�1i:U5 OF ' <br /> h17 API'ftOV1iD TESfIt:c ►.nnor.n•roieY • , <br /> -- -r-,.. . . � <br /> M1ItiSPF.CTION Of' SIGti RL•'QUIRED • • .. <br /> BECORC IiRF.CTIO;J. ' ' � . <br /> CALL 259-8745 POR INSPECTION. • <br /> _/��,(%�y,(/_.�(f���''�„B�� AI'PLICATIUN DATE v� �O�77 <br /> _ ..._ --- � - -- � • <br /> � ADDRESS-- t�LC ��'�'� -/�� ' � <br /> � The andcrsi�ned owner•hc'reby ag:ees to hold and save harmless tlie I <br /> . City of ]ivcreCt from any. and all clai.ns for dacaEcs that may arisc' . I <br /> � because of inatallacion ot the improvement l�creto applied for., and • <br /> . . . furtlier agrces L•o remove samc upon notice from the City to nnd to rc- � <br /> place all public rroperty damaEed [hereby. � <br /> . , .. • YAl.U6:�,� CL . . . I <br /> � I�• � �� L`IRCUITS: � � ' <br /> . � <br /> • �re: 5 <br /> , ' . � .�� <br /> . • ELECTRIGV.: <br /> � ' TOTAL FEES: X D�' . - <br /> . (;�y►uiRG . . <br /> �i:i�-T F��� � . <br /> � �� �; _ � ' <br /> . . I` � �r <br /> ' ' I �- � � I, <br /> '1'--- _ _ ( . <br /> . . . ��'--�—'� ��A�i+__[�1T't'o- . <br /> � I � ' ' ' � ' • �i�'�T�-�cii� . <br /> . . . ; l.t�� � , - . <br /> . . % •�,&.us � w�i�f -��-�s <br /> ' � • J� '- • • -�rJo_ :P%=r�rtx� . � .. <br /> � . � �' � . . ' .�ne'_ � <br /> . . I : � � . , � <br /> . � . . <br /> • . � 6 No. LEVFc. . I �/4►-v� � <br /> �NO . V��� -�- ' ' ` <br /> - � n • � ��Vr47r o�� ' , 4 <br /> • SICNF.D �� /A�� Y/ JOt�, . � _ OWNER 't�-� 1 . �� .• � <br /> CONTRACTOR Y"��77 �'N CO� , ' , � . • � <br /> . . �/ � .// <br /> • ' LYCENSE N0. .,, f��6/ . , . �Ly�,', ' � ' • � <br /> . �� � r � • ' ' . f <br /> { <br /> > <br /> k <br /> � <br />