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J <br /> , <br /> �'�Fi�'crT <br /> `� ' _ SIGN PERMIT APPLICATION . <br /> ' f" SUdb^� EVIDENCL T}U1T EQUIPMEhT � � <br /> + !•�MPLiES i7Z2F1 TI;C STAI.'DArDS OF ' , <br /> Ah t•PPROVED Tf'STIIiG LABORATORY-'!1 • <br /> �.'�_,-- -- _ _.�' , <br /> ZNSPECTION OF SIGN ALQUIRED � <br /> 3EFOP.0 �:;cCfION. � <br /> , (:ALL 259-8745 FOB ZNSPECTION. � <br /> . I <br /> � APPLICATION DATE y�?/- 7A <br /> ADDRESS � p?/D.S f3.C>0.9/� GcJ9y - � <br /> The undersigned owner hereby agrecs to hold and save harmless the <br /> Citiy of Evere[t from any and all claLas for damages that may arise I <br /> because of installation of the ieapravement hereto applied for, and 1 <br /> further agrees to remove same upon notice from the City to and to re- � <br /> place all public p�operty damaged thereby. <br /> c �. � vr+r.vE: ��DD. �� � /� � <br /> C11tCUITS: � � /�f s. G.c� i <br /> . FEE: <br /> . I <br /> ELECfRICAL: ,1- �� � <br /> � . �J',-c-A �.: � <br /> , TOTAL FEES: e2a o� ' <br /> � A�`. JA[. L Gr'Al� Jr <br /> /jC ����. .5.�� oJ IE E CET.TG� I <br /> G�u FAe,'� mF ��. <a_ :�� � . <br /> � . . <br /> �� =Nsr,a ��, o.JE s k i m ' .���F ,fco.v ,Sik,ov (E.cF�� <br /> � . . <br /> ` O� �K 1 STi NJ Ie /O �� S%EC L. �o G E . <br /> �� ' • . . �. 4���� 7! <br /> �' . /��G. C.rJ /'�iP�t�.l4%G . /"�2o F/�7 j /�. � , 1 <br /> �' '. <br /> ; . . " Cf_��-78 ���.. ; <br /> i � ,��7� �l'i,lV <br /> 4�'Z <br /> � • - <br /> •� • . . ••f.'. . <br /> \1�i SIGNED ������/�.`��. _ , , � ,:^ <br /> � ONNER ' <br /> �t � :�; ' <br /> \ COIPlRACIOR /lJf'O�EX v ..� C'o,G'� h; .' , , •- <br /> ,`� • LICENSENO. d..73-v.? dJEGyE.�# C .,Zy7- /��' � O� CITY �`` F'e,`..,°'- ; '• <br /> "� rr �/� �� 2 ,-.D IitSNCr,ti �ri �, � <br /> . � l �jl <br /> �� <br />