Laserfiche WebLink
-\ <br />�uar:�ii EVIDEfVCE TIiAT EQUL-.. <br />COfs�?L!E6 1';'ITH THL- STJ�,�DARDS <br />TI I� U�:Dc;cr;RiTc �5' LP,:ORATORY. <br />iras��cr;c;r� cr- :�c�� r•,�1;�irt�� <br />QtFC':tt "t,fi�C.i i(ii'�. <br />CR'_L 2P.5 �iS^>5 FGR 1NSP[CTION. <br />APPLICaT1Uhd FUR -��'✓ yf�•�('/N{"- . <br />/" :�// 9 <br />: �'/'� y�/�Z <br />Date ✓!�/'✓� �2' � i 7 � <br />The undersigned owner hereby a�rees,to hold and save harmless the Ciiy <br />of �verett from any and all claims for dartssges th�# msy arise because oi <br />installation oP the improvement hereto applied for� and further a�rees to <br />rertave same upon notice from the City and to replace all pubiic property <br />dr.m3ged {hereby. - ' ' . . <br />/�7Y�P,�f��u7 70 <br />'�,CJ�F . �� <br />����E-�s <br />V �,4 U���rs � <br />�i\ �0�23-�'�_,16n�h��u� <br />Ct%c12f�T <br />V �LI��F D�— S�v,v <br />� � i ���� <br />�." <br />Sj�ned <br />- . cR�S �i1/KJ,I,u` <br />f�.Xb'�Si�� <br />�C f\ h� �% I f fcJ <br />e <br />(lwner <br />I �G�cRE �r 5��� `"`�" Contractor <br />k ��9 SP���i,��� x <br />e <br />0 <br />� <br />� <br />G" �F�ri.�.�:�':� ( . . � � <br />A� Z-2�'2, �r i 3. ��� cirv .o� cvEa�rr <br />�_��(ZE 1 ` • qpp�GVED FOR [3UILDING.P[RMIT <br />��<r � 6 7- z�-7z C`��� 2�y-�4 �3 I <br />v�;ic__ _ , _C;�:_..� <br />• .. �I <br />