|
�
<br />�
<br />�
<br />�
<br />� . SIGti PEREfIT APPLICATION /��L��1> � . '
<br /> � 3GS� �
<br /> I ' SUBI4IT EVIDENCE THAT EnUT_PPfE�;T ' �7// �:'-ne'��``�� •
<br />, ' C0I4PLIES WITII i11E STA27DARDS OF • /`I �� ��-� �� SG.� • �
<br /> At7 APPROVIiD TESTII�G 7,I�BORIITORY. � s�' �2��� .
<br /> ' It15PECTION OF SIG27 REQUIFtED ' '� / �C���7�v.�
<br /> $EFOItE EP,�CTIOII.
<br /> . . G�I.L 259-8745 FOR INSPECTION. ' � �
<br /> . !�`C`-r ifi'�/2C� ' Application nate /fJ- 7-J7 . .
<br /> r, `. ADDI2Ess r�7/[�' !//C�i�/9�i.�','/:t(' . . . _ ..
<br /> ,';;
<br /> �'` �;'- The undersigned owner hereby agrees to hold and save harmless thc
<br />' City of Everett from any and all clains for damages that• may arise
<br /> because of installation of the improvement hereto applied for, and
<br /> further. agrees to remove same upon notice from the City and to re-
<br /> ' place all public property danaged thercby. , ,
<br /> . . . . , . '. • • VAZUE: ,O�' . . . . " ;
<br /> . . � ' . . , , . . - ,. CZRCUITS� �l9Q7lsh1�' .. ;
<br /> • • G .
<br /> ' • • '_ at ;. .•.: ., ' . FBE: ^�:"p"(J"` � il.,T"[� � �
<br /> _ ' , � . '• : ' ELECTRICIIL: . , • I
<br /> r,� . .
<br /> ����« � � � . • TOTAL.•PEES: L ,— �v__" � �r'i .
<br /> � . . . I
<br /> � «Z��. � , � • . � , ,
<br /> , . . .' • `��Gl� $tL4'2crU 'T J ' • �;
<br /> 9,� • , , . • . . µ����11 F/?AlYll it��.. -
<br /> ,�.
<br /> ' • : g�. 2 _ i�z�, �n�s .
<br /> • T. . • . � . . . : ' • , . y�'"� T
<br /> f � �
<br /> �� �}- " . � ���
<br /> o---�- ��i� �_
<br /> . . �.
<br /> � . . � � _c c6'. ? 7 ��-:
<br />. . . . . ., : , ;
<br /> � - � ��s n�� .. , .-�� �y,�/�;
<br /> ���jOl,,v%� T�i. �'U�'�� . � � . . . :
<br /> .-��_��Q ,� . . . . :'. � . . � , '=�
<br /> 4
<br /> 1\. � �ifnti'4 i�� . ' . . �� •' .� . . � . .
<br /> �. . --r----•-�-�.. ' . . �
<br /> i 1\ '� . . � • , . �� ' . , � .
<br /> I ` . . . ' . • . . . � ,• ' . - 1.
<br /> I �J ' .. . . . . � , i. ' . ' ' i �
<br /> I y • . • ..•: ... . .. • � � � . . � • 'I
<br /> �� � Signed � ': �
<br /> Owner I
<br /> �
<br /> j� Contractor . . . : . . . •f•`�' • � EVERF_TT Sir?�'�1 fiib.'I'/�,FiY � ,:
<br /> � ` � <, � � ��:. vi� � � . . . . , , . ' . . '
<br /> ` �C ,�w' ,�� ' ' j
<br /> License No. �v[;,: r, , • I
<br /> � . • � i
<br />�
<br />�
<br />
|