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. <br />. .�c�a rcia�•tiT nrrr.ia�ciu» <br />suct�iT Lvr.ur;rcrs Tiv,r rRorr�Trrrr <br />C0:lPI.TGS NITII TiIG STATIDARDS OF <br />AT7 APPKO�'i:D TESTItCG LABORhTOR'L <br />Zt:S^F.: TIO?I OF LIG;: REQUIiu:G • <br />DEFOI;Ii IiREC'fTOiJ. • <br />Cl�LL Z59-87�i5 POR INSPECTION. <br />ADDRP.SS <br />� <br />APPLTCATION DATE <br />0 <br />, The ander:igned owner•hereby agrecs to hold and save harmless the <br />. Citj% of F.verett from any.and all c'Lains for dar,.ages that may arise <br />.� because of insCallation of the improvement I�creto applied for, and • <br />..� furthcr a�rees to removc same upon notice�from Che C'fty to and to re- <br />place all public property dnma�ed thereby. <br />VALUE: � Ol'7�D�1� � <br />CIRCUITS:� � � <br />FF.E: S C� ` �O <br />EL}CTRICAL: � �'J�i U O <br />, // p O <br />TOTAL FEES: _ ' <br />' � <br />STGNED � <br />con�anc;roi: `� titGo �l G� L�2�.� . <br />LIGErSE R0, y�t'�A.L— d$ G 2`� Z�� <br />/ '" <br />/i��:c..., . . . ... . � � <br />� � ^��- � '�c� <br />���i 2/�� r��a � <br />, <br />✓���� <br />.�ILI��� <br />w <br />a <br />� <br />