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<br /> SIGN PERMIT APPLICA'PION � • �
<br /> ' • SUIIt4IT EVIDET�C� TIIAT EnUIPt•lENT � ���� �)/.�
<br /> C0:4PLI�S �•7ITII :IIE STAA'DARDS OF • . ��'� -
<br /> /�
<br /> ' , AN APPROVED T�STING LI�BORIITORY. � 7d Z ,� •
<br /> ' INSPECTION OF SIGN RLQUIR�D ,
<br /> BEFOI2E EP.ECTION.
<br /> , . CJ�I.L 259-8745 FOR INSPECTION. ' �
<br /> • C_�Fifi7v,.'.'/f.. . v2 i r ;«-s���jp�1�a`ion Date �' `J✓�'% (7 :�J�'� � ,
<br /> � � '.
<br /> rwn�ss .��7�1 . . J,�?,��c f ..=Ji��-a .:
<br /> The undersigned owner hereby agrees to hold and save harmless the
<br /> Cit.y of Everett from any and all clair�s for damages that may arise
<br /> because of installatic,n of the improvement hereto applied for, and
<br /> furt-her agrees to remove same upon notice irom the. City and to re-
<br /> ' place all� public property dar�aged thereby. �
<br /> ' � �.� '
<br /> . . . �r' - d_. . . . ' �
<br /> ' • • • . • - VALUE: I/ �
<br /> . . ' . . .::, . . '• . . . . . CIRCUITS: � ( ! � " '
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<br /> . � • ai: •- :. . , , ' FEE: ��2C�-- ,�.9 • !9 C' _
<br /> . . � � ' ' ELECTRICAL: `�-"� ' ev � '� !
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<br /> ' ' . TOTA.L.•FEES: �-�1 �/• . I
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<br /> � Siqned / .•. . .. .. .:,l�.Z � C�t� �Y'E�. .. . � owner ' .
<br /> R' Contractor � /�� 'r'(!�'��� � �7 J�U IV �`•�' . •, . � ,
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<br /> � License No. r— 6��� -4i�cj,�j '
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