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SIGN PERMIT APPLICATION <br />SUBMIT EVIDENCE THAT EQUIPMENT _ <br />COMPLIES WITH THE STANDARDS OF 33 7 <br />AN APPROVED TESTING LABORATORY. <br />INSPECTION OF SIGN REQUIRED <br />BEFORE ERECTION. <br />CALI, 259-8745 FOR INSPECTION. <br />to I�V <br />Application Date <br />ADDRESS -2- -rS-r <br />The undersigned owner hereby agrees to hold and save harmless the <br />City of Everett from any and all claims for damages that may arise <br />because of instal-lation of the improvement hereto applied for, and <br />further agrees to remove same upon notice from the City and to re- <br />place all' public property damaged thereby. <br />VALUE:3�7'_ <br />CIRCUITS: <br />FEE: <br />ELECTRICAL: 0 C <br />TOTAL FEES: � <br />11 cir: <br />_l 64L -A T TJ erree-r o.lL.— alr 6c Fcr. Ftx <br />pu arzr�ar� o'�ao+��zra `r'EK PcA� FrLbq <br />%i 17 <br />C—041- ' <br />4. ck&111" .-/ti'zW7, <br />Signed Tv 15F • A rz Owner <br />Contractor _n)F5E. Ar T` �- a.,o -> oZ 26='� <br />License No. _ <br />