|
?�1 '1 ' r;'n M r .- _ �
<br /> • SUI3MIT L:VIllI;NCT's TIIAT T:QUIl.�MCN'I' � � � � i;� ' � "•�'�r�
<br /> CCivii�LI�S VJiZ'tI TlII7 STANDARDS OL•' 'i � �� ,,,�, � `' a, ,
<br /> � ; ,
<br /> ' TI-I� UND�RWRITLI2S' LABORATORY. � ;., , ` . 1 1 ' �"f
<br /> INSPI:CTION OP' SIGN R�QUIR�D r -'� �., � �
<br /> B�I'OR� ER�CTION. �''•'-'- - - . -:"• :::C��7Td^viJ,
<br /> CALL 259-8745 FOR INSPECTION. • .
<br /> � Date Q�'i, �C'J r"/�i''75'
<br /> APPLICATION FGR (� � �
<br /> G2EC:�lJ(> c�l ,) - v<; �� �".�G EO �07r�.:U �![1 v-r�,.v.a�rn�
<br /> �� -�p / %
<br /> /1 J n �//�i/'.f//���i�T'� L.v�P_�i�(/�
<br /> The undersigned owner hereby agrees ,`.o hold �nd save harmless the City
<br /> of Everett from any and all claims for damages that may arise Uecause of
<br /> installation of the improvement hereto applied for, and further agrees to `
<br /> remo�re same upon notice from the City and to replace all public property
<br /> damaged thex�eby.
<br /> �
<br /> VALUE• y��.S�� ,
<br /> CIRCUITS: /
<br /> � t�v
<br /> 5 —�
<br /> j, �-- �3""�` �—�-1 �_s�� �4;. ,r,� �.� / ��
<br /> , �. �
<br /> -:"` L � � it�.�,,,, , � ��;i-� /�:a. :,r�+�> �
<br /> �`�� G�Il',�I./l�i/G/`�/ ti� � U �A t 9u<S�EL ��.
<br /> � �
<br /> � / A a �.
<br /> ��`�y ���\�a - - iK/c L ii o-,- ,��;rt�l-.f
<br /> �6G�� 70/loo, u/.�
<br /> j I. /• .lf.j`Gr6��},� .
<br /> _l� �
<br /> �
<br /> �i j'� �- ��--,�__
<br /> I /f�A �/��L1'�..
<br /> p�f ,- r :._; 4. � r n�nT
<br /> l�11-i';�C�'�!•.�I) ��:� ,�n,. . �':i: i rl\IVI'1 ����f� �
<br /> n
<br /> t � _'f�':�i i����� / �
<br /> �3:i:__—�/�-�Z;L- �'.-' {J`�
<br /> I �
<br /> ,
<br /> �-�
<br /> /,
<br /> , ;
<br /> Signed .�" '�<' �l/- c C [�c / �: .r, : —� Owner
<br /> /T/,y��D.f/;.2 Ji .0 Go:� •. / d-�/C�i-✓'i �.�Cd"�s�r.-c�' Contractor
<br /> �O�r�, �� ` / �,.,� � (9� (�-� � b K �o- �j,,/,j
<br /> /
<br />�
<br />
|