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� . <br /> � SIGN PERIdIi APPLICATION � � % � <br /> K' <br /> SUBt4IT EVIDENCE THAT EQUIP�SENT / `� � �� �G <br /> C0:IPLIES WITH THE STANDARDS OF <br /> pt� pPPROVED TESTING LI�BORATORY. , � ' <br /> It:SPECTION Q?' SZGN REQUIRED . ' a-���I ( �J <br /> BEFORE ERECTIUN. <br /> CALL 259-8?95 FOR INSPECTION. n^C , z � �F <br /> p.pplication Date <br /> ?',? 1 P= in� <br /> ADDRESS _� ' <br /> The undersigned r�wner hereby agrees to hold and save harmlaTisehe <br /> • City of Everett frcm any and all clains for damages tlied for,, and <br /> because of installation of the lonrnoticet£rom theaCity and to re- <br /> further agr :es to remove same up <br /> place a]'_ public property da�aSed chereby• <br /> �!.4 G . <br /> . VALUE: <br /> CIRCUZTS: Z <br /> pU <br /> ' . FEE: ��� <br /> . . � � � � o <br /> � • ELEC:RZCP.L: <br /> _ �,� <br /> � TO'PAL FEES: " "'' � <br /> � i�;.,; ir:n "ri -it . . <br /> � � . r' . <br /> S <br /> (V� I�i� j �� � <br /> ! �, � . • . <br /> �� io <br /> �l ` a��3. 1� ' � � �z, (`t—� � <br /> ''�i�� ��. ���41z� � � <br /> t � � <br /> r �r � � � / <br /> • � ^ � Owner <br /> � � � . /, ���� ; / � ' <br /> Signed <��' ' � <br /> r y -, y 1` <br /> ��� SIMCO SIG�{' C�MP�'J7' INC <br /> �� '� Contractor <br /> ' '� C272:'�' <br /> �� Licerse No. <br /> � i. <br />