Laserfiche WebLink
Jate — 2 s' — C�+ 2 <br /> A?'i'LICATZC,d for �i�'ti'LL� /c{� / � ` 1 1 �{ J � � � ��p"�-1 <br /> d' <br /> ;he n��ciersigned nrier hereby agrees to hold and save harmless the City <br /> of �,berett fro:n a:�,y and all clai,ns for damag=s th.^_t r..a,y arise because of in- <br /> sta3lation o£ the improvcn;ent hereto applied fur, and fr.rther agrees to <br /> semcve snre npon r.otice fron the City ar.d to repL�ce all public propercy dam� <br /> aged tliereby. <br /> ��� -� /�� <br /> ���-.:�,��X-� ,e-� 8 � �, <br /> �---- <br /> 9!G �.z �-/.t, �.i �.�-�J�'Z� _ <br /> �„�atlon Fpp�ovea.�....� ����� ��� <br /> _ k (1� <br /> Inspectod...... -- <br /> � / <br /> �� <br /> �� i � ir <br /> � �— <br /> , <br /> 1 �i �.�.�c�..r..z, � --- �-- <br /> � <br /> Si�ned /� ��/,�"' �w.%/ \� _ Owner s� � .♦ <br /> � , '� ��;�: �t� <br /> �ELDEN � • � <br /> ELECT�iC, IN� JnliY.ra:,t:�:• �C <br /> -��� R' ` _le.irl ,' <br /> -=��Everefl,�Jash, ` . ..•. <br /> � � � � r <br /> n K• `� .��.lti� _ _-- .. <br /> a<_\ ,,,,, ` <br /> , �N' ;`' ,' <br /> �V�I c�cE���m•uh�.� t.: :��.r.'Pts dicRl.. Y (:;('„�•., 1 E1� p�� <br /> �' I: .�✓�. .i_ !�. ... .'!�.A �1 ��,' 1�J�7t� L. '�^��/-�C'�/ h '� <br /> 'j/ • �� <br />