Laserfiche WebLink
b <br />SIGN Pli12MIT I�PPLICI�TION <br />`SUIII9IT EVIDL•'NCE 'PIIAT .Isn0IPP1P•.NT <br />E019PLIES WITH ^_IlE STnND11RDS OP <br />I�P7 7�PPROVLD TCuTING LI�IIORnTORY. <br />It7SP�CTION Or SIGN Rli(2UIF2�D <br />IIEFORL ERP.CTION. <br />CALL 259-8795 POR INS1'lCTION. <br />�PPlicat:io'n' Date <br />/O G/-7�• <br />��''75 <br />. ��i,3/7J <br />C� .. ;' � �� �/ <br />;' <br />]�DDIt�SS �-�,•r;'C�2�rni• LLEc,,•',r>'p�vi�S �3�_� '..:, ,/_. -', � u <br />� <br />' .�:.��ilc�i ��-�,v c��A , <br />E V L- /L � Z' T- � W A c' f} • <br />The undersigned owner hereby agrees to hold and save harmless the <br />City of Everet-t from any and a]-]. clair�s ior damages that may arise <br />because of installation of the improvement hereto applied for,.and <br />further agrees to remove same upon �iotice from L-lie City and L-o re- <br />place all public property datmaqed thereby... <br />� VALU�: � �'�O� , 00 <br />CIRC[�'ITS: C�'U'_"- � — <br />II F-IVSTi�,.r� -� <br />I ���v, .,,G;v <br />,I <br />= I!- _l <br />r�s: <br />' �LECTRICAL: _ <br />�roTnL r��s <br />" _ i �i�W s% �i <br />� � pniw= -- I- . , � <br />I W���J E � L, DOG3�,E �/�: X/ z x � <br />� i I C"�q�P �'_I..-� � L/fZOni c/2,��,� = <br />a �I � I P�f�S>�� ,�<,�,- <br />�LL (/M /N%JT.".i <br />-- - _I; L- -_ :- .- --- - � <br />f�'-- G �— � -� -- ^� <br />i <br />Signed <br />�X/5T/N6 <br />G" i�����_. <br />qNq �AcF. <br />o;`. ���,�� <br />L C. <br />� . . <br />r.1 �, .77 +�u� . <br />���co� <br />_ _- - I � � <br />I <br />I_�_oG _I <br />ry1�.tis s�vN . <br />�=!i<e � c. r_�ti <br />Contractor � ��-�'�'%� � �'-�-'C�����''�' c> <br />License No. __ - =� O <br />� -� <br />.�'.�QJ % — �� � � � W <br />c <br />� <br />��� <br />t. ci,�in�-i (�V:�! �.; // <br />\ <br />