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` SUIII4IT EVIDENC� THAT F.QUIPDI�NT � <br /> C0:9PLIES WITII ?IIE STAtdDARDS OF ' , <br /> AN APPROVED TESTING I,ABORATORY. <br /> It7SPECTION OF SIGN REQUIF2ED i <br /> BF.FORE ERI:CTION. , <br /> CAI.L 259-8745 FOR INSPECTION. ' <br /> Application Date � �3' ?7 ' ' <br /> �/U.17.4L �GEG7/li� .S%C��tJ �T . <br /> ADDRESS ��'OO I��L(/i 7y �1/� �� <br /> The undersigned ownen c�reby aqrees to hold and save harmless the <br /> City of Everett from any and all claims for dama9es that may arise <br /> because of installation 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 dar�aged thereby. . I <br /> ' VALUE: Y� �` <br /> , � . <br /> � <br /> � <br /> CIRCUITS: � � <br /> � • , . • . <br /> . . . FEE: <br /> i .. <br /> � ' ELECTRICAL: <br /> � <br /> TOTN�•FEES : � ', i; <br /> ; . I <br /> . ,` I' <br /> ~ � <br /> . ..r I <br /> :-�• <br /> • . . ' ' . ,�K,: � <br /> ' : ji <br /> • :J <br /> :l� I <br /> � • . . . . - '� I <br /> .'� <br /> � � . ' , � <br /> � ' 2, z 5-� Z : � ..��. <br /> �i. <br /> � . . <br /> � � � • ' . <br /> V. � <br /> �` .�����75�� C�, Owner <br /> �', Signed � <br /> � ' � . <br /> � � .5l o�✓ C`:d ,. . <br /> �Contractor ' . . . . . . . ���`�7� � , >;, ; <br /> � Liccnse No. � �`" " `�� , <br /> � � . •1i <br /> . �. . <br />