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5029 EVERGREEN WAY 2016-01-01 MF Import
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5029 EVERGREEN WAY 2016-01-01 MF Import
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Last modified
2/9/2017 6:52:03 PM
Creation date
2/9/2017 6:51:54 PM
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Address Document
Street Name
EVERGREEN WAY
Street Number
5029
Imported From Microfiche
Yes
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_ ; �, <br /> . . SIGN P�RMIT APPLZCATION ' ` <br /> SUBi7IT EVIDENCS THAT EnUIPM�NT ' <br /> COI4PLIES S•tITH TIIE STANDARDS OF - • • <br /> AI7 APPROVED TESTING LABORATORY. <br /> ItdSPECTION OP' SIGN REQUIRED . <br /> BEFOIt� ERECTION. <br /> CALL 259-8745 POR INSPECTION. <br /> Application Date 1 -Zy -7� • <br /> ADDF2ESS SOZoI ��vE.cr rLre.,�_. l /�Ji4-7 <br /> The undersigned owner hereby agrees to hold and save harmless the <br /> City of Lverett from any and all claims for damages that may arise <br /> because of installation of the improvement hereto applied for, and <br /> � further agrees to r.emove same upon notice from the City' and to re- � <br /> place all public property damaqed thereby. <br /> . . ' . � V1�LU�: . <br /> , . . . . . CIRCUITS: < � <br /> . . �. . <br /> ' � ,. ': . ' . ' FEE: <br /> . : ELECTRICAL: . <br /> . TOTAL •rEES: <br /> . �_ ` I �_��sT s��u we�r�o tit <br /> • , . . , <br /> . , I � . — —I, . - <br /> I I . <br /> . . " . . . � r . ` .. . ' .r' <br /> I • I ' <br /> �_ �I . <br /> • ' � ' � Al �\�L. � � SICrI.I. - �L-0Gl�1-Tlo7J <br /> . . . � . � � . . . I. . .- . .. _ � • i <br /> �� z Z .� . . . � 1 <br /> (, �- . . � � <br /> . . : , <br /> Siyned � �. (��- - ' � ' Owner <br /> Cont-ractor ' —, v r5�r,i¢�T ` � <br /> � <br /> License No. � <br /> , � <br /> • ��. � b <br />
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