Laserfiche WebLink
SUBMIT F.VID�NC� TI-IAT �QUIPMEN'� <br />COMPLILS �N1TII Tllli STANDARllS Ol� <br />THL UNDERIVRIT�RS' LAI3012ATOR1'. <br />INSP�CTI01`' OI' SIGN REC2UIR�ll <br />IiEFORE EI2ECTIOIV. <br />CALL 259-�7•�5 r OR, NSPi�:CTION. <br />_, <br />� � �il� J, <br />ii �� !�. <br />Datc F:f'v. 5, 79� <br />AYPLICATIO;J FOR icn percit for 0 P; '�ir� :�tore 26G2 Froerdwcv, ;;vec=.r'�, _ <br />The undersigned owuer hereUy agrees to hold and save harniless the City <br />of Lverett from any and all claims for damages that may arise because oE <br />installation of the improvement hereto applied for, and iurthcr agrees to <br />remove same upon notice from the Gity and to repl .ce all public property <br />dama�ed thcreby. <br />Lw <br />I6--- . -----/- /Z� --------- VALUE: �50:00 4�' <br />� f U[.� <br />���� CIRCUITS: On� 1 <br />i "- <br />, <br />� , ., g ' � I C �'�. � , i3U <br />1 ��. � <br />w�, <br />�� <br />�� <br />,�sa�� y <br />; �'i `' � <br />� <br />. �•-- <br />lS� �r <br />i9� <br />���� <br />�r. <br />—> <br />Q vR r3->—�=-=- <br />�y0�. �;'J-�-- � <br />�� <br />�-� 2�� <br />S/G/� GV��N�'NG <br />�,_ ,�-����Qr� <br />, .._ . ��,,�(�i-:� <br />Signed � • � ' � -� < — t <br />- > > 1 <br />/,•� �__? _+ .i.. � 'La %� /> i �J �_ 1' � ' i <br />),( /� ��� � <br />����\ . �i!�Jl�c-+�`v-� % % _l, S �, 5 � <br />7���7�� <br />�l: .�--��• � /i- � - �s � <br />j��-�.-v ��.�-�,^--� �� j �/, � <br />c <br />.' v. : <br />_ o«ii�r <br />Goniractor <br />� 'J <br />� <br />