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2110 BROADWAY 2016-01-01 MF Import
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2110 BROADWAY 2016-01-01 MF Import
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Last modified
1/24/2017 12:27:23 AM
Creation date
1/24/2017 12:26:42 AM
Metadata
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Template:
Address Document
Street Name
BROADWAY
Street Number
2110
Imported From Microfiche
Yes
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:�GiS;v;I'i' I•:':�illi�AGi: 'CiL'�'i i�(.2uii�:�-1GV' <br /> COMYLILS 1'JITII 1'lil�: S'1'A�:UAI:DS Ol�' f � Q� �/ <br /> TIIL•' Ui�lDi:;1.1'✓R1TL•'R5' LAL'O1:ATORY. � � <br /> INSPi:CTION Oi SIG\� RT:IQUIRED �/�d/7� <br /> L'LI•'Olt� ERT'CTION. <br /> CALL 259-�745 1'OR INSYECTIU\`. <br /> �:: _ ' � - <br /> Datc � <br /> 2//D ,��P_DAOcu A y -- <br /> :�_��iic�a2io.a roii � � �.:1 ��, _ , ��, � - � ;< <_ r_P <br /> . Thc undersigned owncr ]iereby agr�es to hold and save harmless thc City <br /> ' of Lverett froni any and all claims tor damages that may arise Uecause oi <br /> installation of the impruvcrr:ent hcreto applicd for, and iiirther agrecs to <br /> remcve sarm: upon notice from Lhe City and to renlace all puUlic property <br /> dama�ed thercUy. <br /> �. ���. � <br /> , � � VALU�: '%�� �— <br /> 'I � <br /> �dt�i�'-F� � IP.CUSTS: �,t� . � � <br /> � _ (��F� � ' — ' <br /> � }x�x��, <br /> � � . _� �- leo�� -� <br /> r ' , <br /> i � - - h\A S'1'.> j <br /> ✓ y ir,CS T� <br /> .i%' _'_-'_ . „l_`' QOOf" ,5'F'/�t: <br /> I I � / 3�8,�'�.�j� � !_A/; -'-- -- � <br /> \ �_'--_ y <br /> � '� T�D 1..r4g nS'G'.i. . .: � I �__ <br /> y� — s4•`� `�`,-- I <br /> � � t'� � " 'I^--6'_— �:�.i_ i. '�7 L� //'<� <br /> ; � � �� 6 <br /> � ' � <br /> , �� � <br /> , � , <br /> ; ; , <br /> �� � _ I <br /> _ � <br /> . , <br /> � , _ __ <br /> _ <br /> _ -6�'�pc � - _ <br /> I -'_--- <br /> �� _ _ <br /> , - -- <br /> /� __ . _ <br /> ____��PS___ <br /> � . - __ - - i <br /> I Si�ned G !"� � . ����`L�C� Cwiicr <br /> . �,:. . , ;,� NF.: '., - , - . Contractor <br /> �� � �/1/� ^"�UH��_•�AY <br /> i e - `- -- - - _ —�, _ <br /> , <br /> a� C,¢�J s.o -7��,��,_ �- � <br /> a . �,;�,-��i <br /> (�c�� S= <<v• Z� "`�` , ., _. � . . _ __ . --- <br /> �� -�.. . /G �.7 4 �S i-G� <br /> ' ' `���CC�£!ft� — J � �G� 7 y _ <br />
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