Laserfiche WebLink
SIGN PERPiIT APPLICATION <br /> SUI3MZT EVIDENCE TFIAT EQUIPhlF.AT <br /> COMPLIES IdITA THE STANDARDS OF <br /> AN APPROVED TESTIrG L4IIORATORY <br /> INSPECPIOK OF SIGP� REQUIRED <br /> BF.FO�ZE ERECTI0:1. � <br /> CALL 259-8745 FOR iNSPECTION. <br /> APPLICATION DATE i7%/// �l/%F <br /> ADDRESS S/.�O �ur'.'�crr �E°.-c /r�G..i <br /> The undersigned owner.hereby agrees to hold and save harmless the <br /> City of Everett from any and all clains for damages thae may arise <br /> because of instsllation of the improvement hereto applied for, and <br /> further agrees to remove samc upon notice from Che City to nnd Co re- <br /> place all public property damaged thereby. <br /> ' VALUE: r�` �O(J.•�—'— <br /> CIRCUITS: / <br /> . i' <br /> FEE: <br /> • • $LECTRICAL: � <br /> . TOTAL FEES: ��� � � <br /> � �� <br /> �, -�- - - �- _ -,- -,-_.__- .__ <br /> . i u5'���i I ' <br /> "vei�� � <br /> i�, <br /> . � . ��� 3 j��� � <br /> ,..� � � �s� 28 ��� <br /> . 3 — �-, -- �.F l�. �. <br /> . SIGNED . ���� ��S�sc<<J- �;�. Tuc. owNer. �i����t �i,���4,L�( ' <br /> I � i <br /> CONP[tACTOR L\ �r.�i - /> - /-i �r .S`i�i�S <br /> _ LICENSE N0. 2�-.�-c� •z•-S.Zy�-7�o _ , <br /> �_ �� <br /> ���/ �''2v�.£.� (C'r�-...-,. ,.���,�� <br /> -r <br />