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2227 BROADWAY 2016-01-01 MF Import
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2227 BROADWAY 2016-01-01 MF Import
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Last modified
1/24/2017 1:10:36 AM
Creation date
1/24/2017 1:10:02 AM
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Template:
Address Document
Street Name
BROADWAY
Street Number
2227
Imported From Microfiche
Yes
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i <br /> . �y� �� <br /> ,.= TH 1T EQU'PLIFNT ���'= <br /> EUf'iMIT EVIDENCE THAT E�UIF'viEM <br /> C,(n.1t L��� �i �: �il-. .iil�':�,?i�nS CF . <br /> � <br /> 1HE Uf�^uERV�'';ff[RS L�'.`�:'�i;,i'�� . C0�"PL!�;, 1'iliH TH� STAi�:C.1RDS GF <br /> ItdSPEC1lON CF SIGN REQUIRED <br /> 7HE UiCD�R';'JRi7EPS' LA3GRAT(i„Y. <br /> pcFGRE ERECTION. INSPrCTIC�I r� � ^ � �;c,`�;�n�L� <br /> CAIL 259 �885 fOR INSPECTION, B�FC�;� �;;:_i.;,..,:. � <br /> CA.L ;''. ) � , r. �;� J;'S;'_ TI •P <br /> Datc� -7� <br /> AP�'L I CAT I UW FUfs �� �� ���'�p��� <br /> j/Y�%,91 L /L L U /��/r�/J%�O �/G/�/ <br /> The undersi�ned owner hereby anrees to hol� and save h�rmless the Cily <br /> of Lverett from any and all elaims i'or darr,ages th�t may arise beeause of <br /> installation of :he �mprovement hcreto applied for� and furiher a�recs to <br /> remove same upan notice from the C1t•� and io replaee all public properiy <br /> , uam�ped thereUy. <br /> /�/�1//�"��U�•. �-t <br /> ,E1�GT / Gis�', <br /> 4—C.�� i ,� I <br /> . �p �)�GG� �,,��� s/��✓ I <br /> 2�.�" / L�X_CL �L ��.s r A��-�.,�sr �lz�.,� f ! <br /> � � Lv�y� �F S�-n��- I <br /> � <br /> ; <br /> � <br /> /�� <br />' � � �� <br /> , � <br /> I <br /> � ����� I <br /> CITY Of EV[RETT � <br /> APPROVCD FOR I3UILDiNG P[RMIT ; <br /> I <br /> Date py I <br /> i ' � i <br /> � ,' <br /> • � ,ti� Uwner ' <br /> SiPned � I <br /> ,��/TN. /✓E��✓ �l/� S/v�✓ �� T��E�.Lyt'^ !7/51-�r�ontractor <br /> -' -;gl�f�/ � CITY OF C`.rFR[TT <br /> - J,��.� .- ,�,,..-�. ,° �,;��' �"//` ���� APPROVED JR BUILGING ERMIT <br /> % ' <br /> ;� <br /> � <br /> �< �'a B 6 -��-�� 17. ��f��-�z�—�Y — I <br />
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