|
. . . ,
<br />. . . . SIIB\4IT E:VIDF.NCE TIi4T EQUIPT4ENT � ' . . . � /i� �/ � �� :';':
<br />-.. COASPLIES �YITFI TF?E ST_1NDARDS OF ' G�
<br />. .' TFi� UI3DER�Y"P.ITEI2S� L�BORATORY. ' � �/v.` � ,
<br />' . r,
<br />�. L�'SPECTION OI' S'IGN REQUIRED- � - �/�/
<br />r , '. EEFORE ER.ECTION. � ' • � ' ' / �G
<br />� " - GALL 259-87�5 FOR INSPECTION. � • � � ' •
<br />�: , . . . . � � �-�L`� �� .
<br />' � : . . . . . . . Date ��
<br />_ , ,. : : . . . .. ' .
<br />- APPLICATION FOR � f/�.G'•L-`�/�L�fP Ti"v��% /�{ 7,.
<br />' � ' � Cc7/l�cy:,
<br />Lr.. . . : .. ���`. ' �l�Li`��v.�-�E�/:� .(� ' �. ' .
<br />� P�/Jf7/C S/O"Y�
<br />_- The unde:signed owner nereby ag�ees t6 hdld and save harmless the Citv
<br />'•, of Everett fro:n an}� aad all claims ior damaoes that may arise because of �
<br />_ - 3nstallation of the imrrovement hereto.applied for, z,ad iurther zorees to �
<br />: , zemove same upon netice irom tne City and io r. eniace ail public propertp
<br />• damaged thereby. .
<br />� � . . , _ - YALUE: �.i�0 � . .
<br />t _ _. . . �CIRCUITS: ' .
<br />..
<br />..
<br />�.
<br />i .. . . :: . . —
<br />� � . .
<br />. ' ���iY�E ���v'�C'Zlf1�(� �t'� ..
<br />z r �
<br />' �� " �/J X�� � �_..
<br />. . ' � •' �-"--�... t�.= � . .� r , '"
<br />w ..
<br />. . :�
<br />+•,
<br />.. �
<br />r . '
<br />�'
<br />, �AIZ�"l�� �t�'�i�ul.��r�. ,:. r -
<br />� " " i a'!":1� i�'2.!//.sdGGCc . ..�
<br />o' �. .: ' � . + �_ �� -
<br />_.
<br />s
<br />�:. ... . .� .
<br />� � . • ' - �", . �..y:
<br />-:: ' ._ � .. ,. . ': . :
<br />.. . . . . "_ _ ... .. �; . . '�'„ " ' � �
<br />7'2ra�zn•. " �ic � i�a,vs
<br />{� pt,EK: / - �G.� aK 2
<br />_ � ;, � _
<br />� ` .�'� � � .
<br />. � . � . % ¢'. ..
<br />, ,
<br />_ " . � � ' ,�:�� ��
<br />G'� � rir,�zc :s}�io
<br />ry�(�(�� . Zvil;u'.c3�cFcc� �
<br />��� �IK :
<br />. "�' _ � t
<br />:. �" �Sb'/`F-t� �,,U,�
<br />� ��, / : � �,` �� , :. U � :
<br />.
<br />�r�_�:,� r. _ t� � ��;� � f�
<br />, : � -:. � . , ., � ,
<br />o,�,,N. ri� C �.:-� : • . . : ' . �, : • •' ` -
<br />'LIJ7�"•� �J Signed �'i2Cu�u r1G� / �v/�i�.l� C,`!%C'/� ��?L,�j Owner
<br />, �� 1Z
<br />�-,, rc ' . � � .
<br />/'' , • .,
<br />Q � ,Q, �� Lt� l- -�ir < Contractor
<br />. �h d:/
<br />r� ` /^.� . .
<br />_ � c�Y'✓ �.,���: � � S: • � EVERETT SIG\I COMP�'�lVY.
<br />�,/ r 27�1 B-19th ST . PH. 259 4413
<br />`���5'G�G� � . � . . � EVEfiETF WA. 98201 _
<br />�'-��L% ` ,
<br />.,.. . .
<br />.
<br />. ,.
<br />, ; �.. � . . . • � ' . �' . '.
<br />. . _._. • �-�
<br />
|