Laserfiche WebLink
n <br />� <br />N <br />szcN PL'RMIT RPPLICATION <br />SUL14I'P EVIDLNCE TIfAT .L•',QUIPPIPNT <br />COi/PLIES S�I7'li TI3� STANDARDS OP <br />I�?7 APPROV�D TESTING LAllOItF�TORY. <br />It7SP�CTION OF SIGN REQUII2�D <br />IIEPOR� liR�CTTON. <br />CALL 259-F37�5 T_�'OR SNSI?L'CTION. <br />�'� <br />ADDI2� S S <br />Application' D�te <br />v <br />The undersigned o�aner hereby agrees to h ld and save harmless ilie <br />City oL- Everett from any and all clair�s for damages that may arise <br />because of installation of the improvement hereto applied f-or, and <br />further agrees to remove same uPon notice f.rom tlie City and to re- <br />place all public property damaged thereby. <br />� pG <br />. . � v�Lo�: [�7 ��n <br />CIRCUITS: ���-U-' <br />Il.�— �o '—�1� • . � <br />� r��: /� /, <br />11 � 0 �� <br />EX�t";h'G <br />'r <br />1 �' <br />�n 9 <br />bv�S� r'ri <br />T �. •.�' . <br />Signed <br />� <br />��� <br />i <br />�� <br />� � S/G'�' <br />_._ /JO.liNS F � �. �, . . .� <br />� _ . .� L i��;'-I <br />�� F.� L° r'r• c h'L:•ST�t� f; _ i_ <br />i � <br />� ILL UM InIAT� p. <br />�LECTRICI�L : <br />TOT71L r�ES ; <br />�, ' y'i <br />--Z„x8 X�} CIt'lr+ricL i;Lo�= <br />Gt,�F/ 0 iC T PF/1Ms, .goar <br />� TO S/"..'✓ i .Ydnnr p.�-:, , _ <br />� � . _ <br />,�' Bo�r� <br />'� <br />�K�1DE <br />�-�Ib�12 �=�� <br />,.D � <br />�l 3 °� <br />q4z�O M!.' ?:TLI���—$t1q_..._$—>'1' �-� ' . <br />i, �.. x _ i)�:{� "r�.u_ni�J�',Jr-lS' <br />nDf.�� .: h, �i�i<.(� .i�:>:I � �CH� �.` ,_.�. <br />n,' - = �.�L 'T�_I�S b�7.r _lC 7-�il�'li <br />. - f/� �, �� <br />Ocaner0 2� <br />Contractor ' ���:�:�;�' S! '/�/�t�'/V GG> . �'-' 1-_:' ::. �7 - C / �=� r.0 , y c��Vn _ � <br />; r: <br />License A�o, �� "" <br />