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SICN PERMTf APPLICATIO. <br />SUBMIT EZ'ZDEhCE TRAT EQUII':�AT <br />COhSLIES l:Iitl TiIC STpA'p,�gDS OF <br />AN APPPOVED TESTI�G UIBORATORY. <br />INSPECTION OF SICN REQUIetED <br />BEFORE ERECfION. <br />CALL 25.^-8745 FOR INSPECTION. <br />0 <br />APPLIGTION DATd • / -- / G �� <br />ADDRE55 �i�_ O /�i� �.c., s _ <br />ihe undersi�ned owner hereby agrees to hold and save harmlecs [he <br />City of Everett from any and all claicis for daroages that may arise' <br />beeause of installation of the improvement hereto applied for� and � <br />further agrees to zemove same upon notiee from ihe City to'and to re- <br />pl�ee al? public r�operty daoaged theteby. <br />�' <br />VALUE: � (9-f4.o=- <br />CIACUI2S: / ' <br />' ree: � li' G <br />�LECfRIGL: ' , <br />Qo.f� . <br />. sj,,� ' raru �ss � <br />.,� � . . <br />/N ST.4� L a- yv".Y 6L ".�.� <br />/c G c�.�, • P.v c. c s�G.vs o.c� <br />• 61'isri�YG /�oGE /.v PG+« <br />�F .iX�ST/.t/6 �°,�� /�"„'ccs <br />,1-«�-�� <br />�i�� ; <br />� J:: , <br />��.e � ��.k....� ���,- <br />SICNED �G%/,���p �R <br />CONfItACtOR �IF.�{Tp ,{r�J ii� � <br />LICENSE tCo. �_yf -AT—ffN � g p �-.T <br />�� ��� <br />i <br />