Laserfiche WebLink
i <br /> � SUBMTf EVIDENCE.TftAT EQUI"� � . <br /> COMPLIES HITiI 211E STAFDAT.<DS OF � � <br /> _ All APPROVED TESTYAG LAdJRA1[ORi : • . <br /> IHSPECTION OF SIGN' RE�,�UIRED . <br /> 3EFORE ERECfION. , , <br /> , CALL 259-8745 FOR I:4SPECTION. � • <br /> , APYLICATION DATE • �' ��� �� _. <br /> ADDRESS �� •/S�— L�AAdG</A-Jf� ' � <br /> The undersigned ovner hereby agrees to hold and save harmless ehc <br /> City of Everett from any and a:l claims for damages that may arise' <br /> because of installation of [he improvement here[o applied foz, and • <br /> further agsees ta remove same upon notiee from the Ci[y to' and to re- ' <br /> place all. public property damaged thereby. , . � <br /> FastR-H ir��s - . YALUE: _ � f S��O O �� <br /> ��•x3��tA� ��/s . i <br /> ,' CIRCUITS• 0 N r= ' <br /> ' • ' . b '-- ' FEE: . c� 60 <br /> ' . �1�-8� ELECfRIGL:' `� ' � . <br /> ��.'. • � TOTAL FEES• . ��+' � _ ' <br /> z- � No-rc : � <br /> � '�e r�� v� s/�� F�o�, <br /> ' =�DL� � !ti(STf}LL DN <br /> y�6uy . � � � . . Fft.er.1 T OF IIl.t.lL[�ING- . <br /> cne� I <br /> uPu�y l • • . <br /> , �__ /�P�,�,r Sr�Fsqn.�i . <br /> Q 22/tl . �—� , I� <br /> Q � <br />. ,�CLoADwAy <br /> . . , � � �f- �Ci C�'e1�:• <br /> — , ' .�. �l�Z � � ��L, <br /> . c�t7�tc. cv r'� . <br /> � . 7Jau C. Pr?t,c�rr -Z-o <br /> � �� �,�7� � ,. . <br /> iL�oL- �G �x�.wx.� ' . ��.� l�"�'r+e a.s !g ��4�. : <br /> ' . SIGNED ,�/'/L In�//�/ �� OWNER <br /> coxr�acron y�.�isr �t�:/,r/. �,�i c • <br /> • LICENSE t�0. �F-,�J T/�i�/ �t ��n = 2 �T <br /> � ' • � ' <br /> , � � <br />