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�. _ -- - _ _.�-. , . <br /> ,. , SIGN P�RI�fIT APPLICATION , <br /> ` � SUEI4IT EVIDENCE THAT .EQUIPMENT <br /> C0:4PLZ�S ��STII TI3L•' STAI�DARDS Or <br /> A17 APk'ROV�D TESTING LAIIOT2I�TORY. <br /> IYSPECTION OF SIGN REQUIItED , <br /> DEI'O12E liRIiCTION. <br /> ChLL 259-•8795 P'OR INSPECTION. <br /> ppplication Date �� ! �s� 1 7 — <br /> AUDI2ESS � b � G'�' <br /> The undersigned o�•:ner hereUy agrees to hold and save harmless thc <br /> � City of 1:verett from any and all clair.is Lor damages that ntay 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 a11 puUlic property 3at�aged ihereby- . � <br /> � VALUE: � `---- <br /> CIRCUITS: -- <br /> � �t9 O <br /> � r��: <br /> � rL�c.RICAL: `f� <br /> TOTI�L FEES: �� � <br /> �/�LI FI �---� <br /> i`�/Riwr �� �II�Ns S <br /> �,,,,. nN r��vltirr_ I�Iwt'�-rt1 <br /> -- r- � � . <br /> , 7 <br /> 0 <br /> �. �y � ���- 7� �� . <br /> � � � �_ � j >���I�� <br /> ^ � ' � /��n�, � _ c�l_ ../,� <br /> � <br /> � �e,a��r`— "`� <br /> u <br /> H <br /> � <br /> , <br /> � Owner ! <br /> Si ed — f .' ' , I <br /> � Contract �—� 11AL.n .��� (C/V ' ��� ��V G� — ! <br /> � I <br /> � Lic�nse No. <br /> �� y ? �? i <br /> � <br />