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� <br /> SIGN PERh1IT APPLICATION ' . <br /> , . .i%�z `J�7� • . <br /> SUb14IT EVID£''^� •TIiAT E�UIP1dENT J �, G-U <br /> C0.4PLILS F7ZT;1 i11E STAf1DARDS OF • n ���� ' • <br /> . AN 11PPROVED T�STING L��IIOR7ITORY. /3 /C ,�l��`� <br /> � INSPECTION OF SIGN IZ�QUII2�D , <br /> $EFOI2r EATCTION. <br /> . . CALL 259-6795 FOR INSPECTION. ' � <br /> , ' Applic��.t�.on Date O'- 5% - �y <br /> a►nn�ss /.-�/J %'�i C iri t, ' . . - . <br /> The undersigned owne�� hereby agrees to hold and save hr.:rmless th� <br /> City of Everett from any and all clair�s for damages that may arise <br /> because of installation of the improvement hereto applied for, and <br /> furiher agrees to removc sarne upon notice from the City and to re- <br /> piace all public property danaged thereby. : <br /> �' Fc' ; <br /> . . . , : • . • VALUF:: /y�� -� � <br /> t <br /> . ' ' , . : . . . . . . . ,: CIRCUITS• � I�/G�/�� — <br /> . .•�•' <br /> . ' �• .�t: - `" , , FEE: Lj�--At� f� , �?U <br /> . � . . • '. . . . ; .. ' .•.•,: • ' ELEC:'RICI�L: ` • � <br /> � . . TOTAL.:FEES: �' '�__L'C�— �f_ . '�� . , I <br /> • • • I . • .• 1 . ' � .V. <br /> • • ' • ' • � . � � . � • � .. ' � <br /> �• , . � • , • . . ,. �! ' /.//� . ' ��� • , ' . .. . • I( <br /> .. �' ' � � '. . •. . 1. 1/j� .. ��,� �r C � •• � ' • • - � ' `Y <br /> ', ' . . . . , . ; G� 1� �� yl'`. : : . . . ' ! <br /> � �. � . � � � . � � � <br /> . , <br /> - .. . . � ; <br /> -� , . . : . �. �.. . ., . � ' = � � � . ; <br /> ` �� „ <br /> Signed ' �f(/,'/i ��/' � <br /> �! .• . J- Owner . <br /> ` ' <br /> � <br /> � Contractor �:�'Y%'fT% .S/� ,K �t% . . � � <br /> ' ��> / ,, . <br /> Licenae No. �L%il%L i�.�i''li l�.� • I <br /> � . , � ��� ' , i <br /> s <br />