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- - _ . r-. . .. <br /> ;'iL��.J�-��-� <br /> SIGN PERMIT I�PPLICATION � <br /> SUB1�lIT �VIDL•'NC� TIlAT .EQUIPA]T•.NT <br /> CO!4PLIES WITtI TI1L STANDARDS OF <br /> 1+t7 I�PPROVCD TESTING I.�lIIORnTORY. <br /> 7I7SPECTION OF SIGN REQUIRLD <br /> LEFORE J3R�CTION. <br /> CIeLL 2�i9-8795 :OR INSPBCTION. <br /> Applicatio�i Date � � 3 �7C� <br /> � <br /> ADnRP•.SS �- � � G � �/�c� ( � 1 �- <br /> The undersigned ot•mer hereby agrees to hold and save harmless the <br /> • City of Everett from a�iy and all clair:�s for damayes that may arisc <br /> because of in�tallation of the improvemeni- hereto applied for, and <br /> further agrees tu remove sarme upon notice from thc City and to re- <br /> place all public property dat�aged thcreby. <br /> > <br /> � VALUE: � 'J G�O�� <br /> CII2CUI�rs: /�v�vr <br /> ' r�E: <br /> � ' �LBCTRICI�L: /�(Oc�/� <br /> TOTAL PEES : <br /> I <br /> I <br /> � <br /> / , / / . � <br /> Signed C_'�� 7rt�tct-c.�...�i��ft—�c.t _ Owner <br /> Contractor �-��-�i ( <br /> i�iccnse No. Z 2. 3 - �%1 -/1C'_- (C� -2C'- L�-(5`12 � <br /> � <br />