Laserfiche WebLink
°.IGN PGRMIT APPLICe1TI0t� <br />SUB:tIT EVTDENCE TIIAT EQUIPMENT <br />CO;ff'LIES 11ITH TiIE Sf<1ND�IRDS OF <br />AN APPRGVED TESTI�G LIIIORATORY <br />INSPF.CI'ION OF SIGPI RLQUIRED <br />BEFORE IiRECTT.ON. <br />CALL 259-E745 FOR INSPECfION. <br />APPLICATION DATE ��5� / O <br />ADDRESS <br />Thc undersigned owner.hereby a�rees to hold and save harmless the <br />City of F.vcrett fron any and all clains for damages that may arisc <br />because uf ins[allation of the improvement hereto applicd for, and <br />further a�rnrs to remove ;ame upon notice fror �he City to nnd to re- <br />place all �. �lic property damaged thereby. <br />�_ <br />VALUG� — <br />CIRCUITS: � <br />FEE: <br />£LECTRICAL: <br />Tdf<\'� FEE�: <br />�..��- �4'1�'�-1f r=-17 `�t-�h'IJ S , <br />� f�; (; (� � I��'I I� i� �-, <br />: EP 0 i 197Q �_ <br />CITY OF EVERETT <br />Inspection Dept. <br />sisn�D �-'-t.,�--! et1 1-�v�l UA- �� ���ere'��� � <br />�oh7�.�croz '�r,Nc.0 �� �/� Gr�,a.� . , <br />� � :.�� <br />LIGEtISE N0. _� Z7��.Z+ _ �,/ <br />�_�! `__� _. I <br />/ / � <br />/l/"?�.'„/� '-�1�'Lc// ��7,..,--�� ��'. � <br />�' r% <br />1 <br />