Laserfiche WebLink
11. <br /> 1 _ <br /> • SIGN YERMIT APpLICI�T20N � <br /> SUBt9IT EVIDENCE THAT E�UIPp1GNT /� '� �� � � <br /> C0:4PLIES WITH TII� STl1NDARDS OF <br /> At7 APPROVED T�STING LI�gpR.�TORY. ��7 j /� <br /> It75PECTION OL' SIGDI REQUII2�D ///�/J� • <br /> BEFORE EIt�CTION. <br /> ��LL 259-87A5 I'OR INSPECT20?v. <br /> Application' Date Gct 25, � 9�(, <br /> ADDRESS � Evergreen l�Jay (Evergreen & Holl Dr <br /> Y ) <br /> The undersigned owner hereby agrees to hold and save harmle:.s the <br /> • City of Everett from any and all clair�s <br /> because of installation of the improvementrheretoeappliedmfur, and <br /> further agrees to remove same upon notice from the Cit Y arise <br /> place all pub.lic propert;� dar�aged thereby. Y and to re- � <br /> . . ' VALUE: $IO, nno. 00 <br /> , � CIRCUITS: 4 <br /> . • - FEE: �"� _, <br /> . , � '�L-.a•--- � _> • �'Z,, <br /> , � ' ELECTRICAL: '4 - �, <br /> TOTAI, FEES: �� . ��= <br /> pPer Attacned Site Plan & Dzsinn Prints <br /> . ( ( � <br /> ('�/� . , ��•� <br /> ;7���� I�,_..yl� :, - , � � �� <br /> , . I i�;"I i ' ' l, <br /> i `:',-lr.w..�t�•�i7�a,aS �. ���� " ` � _, ._ , � �i c <br /> �'.-_ ,..s ^, <br /> �`�i�� oF C-,;r,�: i ll�'��t��__ ' <br /> �D -,r�. � (.. <br /> ' Signed Viileoe •Inn• Pancake House <br /> Owner <br /> Contractor Simco Si n' Com an Inc. <br /> License No. SI -MC-ilS-C272P3 <br />