Laserfiche WebLink
' $IGti YERMIT AY+LICATION <br /> ' SUB4SIT F.VIDENCE THAT EQUIPPLhT • <br /> CUI:PLIES NITiI TllE S"fAt'D�+RDS OF . <br /> AN APPROVED TESTII�G IJ+BORATORY . <br /> INSPECTION OP SIGN REQUTRED <br /> BEFOP.E ERECTION. <br /> CALL 259-II7G5 FOR INSPECTION. : . � ,�'L �, (���- <br /> APPLICATION DA2E 1� <br /> ADDRESS I�viQ�iL-� LC��S - ' <br /> The undersigned owner hereby a�zees to hold an3 save tiarmless the <br /> City of Everett from any aad all clairs for daraages thlfedafor iand <br /> because of installation of the iflprovement hereto app . <br /> � further agrees to remove same upon notice from the City to und to re- <br /> place all puUlic �roperty damaged thereby. . <br /> � vatar: f�0o�' <br /> cuzcuixs: �/��� <br /> � FEE: <br /> • , ' • ELECTRICAI.: ,�.-------- . <br /> TOTAL FEES; <br /> Y��/leL`/,1L �/�Zv�'"�S /' . <br /> ' • � �t/`�c.= ��� ���a E'r� �/ � <br /> .�— <br /> � �c�D �i�y�co �v� <br /> - � �iy�,U��:., �N� - � � <br /> :f ? 7 ��� � . <br /> m <br /> �/Z�/,� K: c• ' <br /> � • <br /> • SIG:dED �'� " ' G��:1 OiIiNER r <br /> ,' � � <br /> CONTRACIOR ' ��C� '�7d' '--- - �j'�� / Z ���� -- <br /> • LTCBNSE T 0. ��v`7�7� `Sll9l�� W , ��'�,.'^_-. � <br /> �1 �` `.�`��� • • <br />