Laserfiche WebLink
� <br />S26N P�Ri•fIT Ai'YL7CA`i'SUN ` , <br />' SUEi,TT EVIDEP7CE '['IIAT FQUIP;9ENT ' <br />CO:,PLIL•'S FITTII i13E STP.I�D1:itllS OI • • • <br />.st7 APPROVliD TESTII•]G LABOFL'�'POP.Y. <br />It;SP�C'PIOt] OP SIGtd R�QUI1tED • <br />BEFOFt� LP73C'PION. . <br />Cl:LL 259-E3795 FOR Itd;PECTIOC]. " <br />' Anplication Date � „ G� r� <br />ADDit�SS OZO ��P�� . . <br />`Phe undersi.yned oomer hereby agrees to hold and save hannless thc <br />City of liver�Lt f.rom a�iy and all c].air.is ior damages that may arise <br />because o1`. installati.on of the impr.ovemenL• l�erei-.o applied f.or, and <br />further �igrees to removc same upon notice from the. City and to re- . <br />p).ace all� public property dar�aged thereby. , <br />• •, . • ' . . . . . . ' <br />. . . . � . � VkLUE: � �DD � � <br />. ` , . .....: CIRCUT.TS: � <br />: .'. ' '`` . . . . /�, iJ-�7 � • • - <br />- . ,_. ,. �I��L: `�!.� . . <br />: • . "'. �LPC�SRICrL: "�� " �.J ' . <br />. . . • . � . . . ,� <br />. TOTAL. L �ES : ' ; .I - •' ... . <br />. .��4/� ?0 8� A�.c�.� �: � . . . � . <br />�t�,�� � ,� . a � � � �, �, � s� <br />• "7+`�� . �� c • . <br />. .. ��� .... ��:.: <br />. , :., <br />: . . , � � ;. . � <br />. j- �. , ; �: ii. � �: l � : <br />. /j / % , . . _ ,. <br />. / . � / - � . / � ' , � . . . : . . - 5 <br />'. / / /: ' . . . � <br />. . / �� / . . � . <br />. / .,. �.. /. �� � . � � . , �:� <br />. / , . ' 'y ' , . . ., ' . . , . . ' . ' <br />. � <br />Signed ' �(L,���//s �C�ti�' -!�—.��-(,l�z���1:L_� Owner <br />Contractor _ �} •� �7_'l;'�e�'�.�i.�.� . <br />I,ir.ense 1�70. �2' -02 =52:4�O�Q �. <br />� ���.�� -�.-zt.--%v--�c.�.-�.) � � �.' �; <br />