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_J <br /> _ SICN PERlfIT APPLICATION � <br /> . , <br /> . t <br /> ' SUBMIT EVIDCyCE THAT EQUIPMENT ' � <br /> , CO:SPLIES NITH TfiB STANDARDS OF • <br /> AN APYitOVED TESTING L1BOR.ITORY <br /> INSFEGTION OF SIGN REQUIRED ' • <br /> BEFORE ERECTION. • • � � <br /> CALL ?59-8745 FOR INSPECTION. � <br /> APPLICATION DATE �!'T2 3 � � � i <br /> ADDRESS K�/ — ��g �ttl�L� ' <br /> , ,' The undcrsigned owner• hereby agrees to hold and save harmless the I <br /> Cit�� of Everete from any and all claims for damages that may arise' i <br /> because of installation of the improveman[ hereto applied for, and • <br /> . further agrees to remove same upon no[ice from [he City t� and to re- i <br /> place all public preperty damaged thereby. � <br /> • qv_ I <br /> VALUE: � � <br /> ' I <br /> CIRCUITS: <br /> � <br /> . FEE: ��g R <br /> • ELECTRICAL: � �� � <br /> ' � fl <br /> • TOTAL FEES: .�3 � ' R <br /> � <br /> ' . ' ' ` <br /> ; • . :. • � <br /> . , �, - ���=+z- ��t-� � �i2--��z�T-� . <br /> . . . . ? <br /> . � . � � � <br /> � . ,i � <br /> �l C����� `7.�c o��, � <br /> . . . , <br /> . � . c . �l �ro���� � <br /> �� ��/��+ /�' , � <br /> SIGNED � •/ !�%/"' � �!/ ✓l''_7 OWNER � ` i <br /> �co,rriu+cror. ��vvL�o S.C�� �0 N-V )�, �<,... <br /> . ��� , I <br /> • LICENSE N0. ��'�' ' � <br /> . . � i ��� - � �.� �'•� J 1 ' ( <br /> � �r,� � �'-��Z.jc__--� ��S„'-� '+�,._�_.��.� � <br /> I <br />� <br /> I <br /> I <br />� � <br />