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I <br />SIGN PER14IT APPLICATION <br />SUB14IT EVIDENCE THAT .EQUIPMENT <br />C014PL IES WITH THE STANDARDS of <br />AN APPROVED TESTING LABORATORY. <br />INSPECTION OF SIGN REQUIRED <br />BEFORE ERECTION. <br />CALL 259-8745 FOR INSPECTION. <br />Application Date <br />ADDRESS <br />23 <br />17 <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 installation 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: <br />CIRCUITS: <br />FEE: <br />ELECTRICAL: � �'n o <br />TOTAL FEES: -ZS •WC) <br />�i�r7-facrc�9- <br />��� <br />�Lv�t Z3 rzcc �tDr> `Y- <br />Signed <br />Contractor - <br />License No. 22.3-c>Z—Ac-K'EF 12cz2y.5-J(;�_ <br />Owner <br />Y <br />