|
- �.
<br />\ • SIGN . 112P1IT APPLICATION i �
<br />uUII141T �;vin�,racr Tiir,T .rmorrr�rvz'
<br />r; .^:' co:a�%r,T�s wr� i3 �rm: s�rr.rei�n�sns o�� �
<br />. :.:�c; ��x ��rrRovLn z�Ls�riNc Lr,BORATORY.
<br />insrrc�rroN or stcrr r.r�vzRrv '
<br />.'•'" t��ro�zL �.R�:cTrora. •
<br />CALL,259-II795 POR INSPI;CPION.
<br />�;,:, _
<br />nPPlicai:.iori Datc /O — S-7�J
<br />; .1: .
<br />�, . .
<br />�•'�;: �SDDr.�ss .17�Nf;�S �'��A��t/si'�l2ssTan� 9!3/ ��Ei? � ,
<br />' �,,: <;. - 6r. �e�v wf, `�,
<br />; , �The undersigned ownen c�r.ehy aqrecs Lo hold and :-��ve . mless the
<br />City of i.verett from �iny and rill. clair:is for damac�es thaL- ....�y arise
<br />i` becausc'oi installation of the improvcameni l��ieto applicd f-or.,.�nd
<br />�3: „,further agrees to remove :;ame upon notice ir.om the City and to•re-
<br />place all public property dar�aged ihereby.,.
<br />r,:- ---- - - —..-' • � . VALUI3: ,�� 5 �73.°'�' .
<br />�. . , I
<br />i .-
<br />; �_.,;.'` '. �----- /o --
<br />,. C]:RCUITS: �
<br />w . ¶ �
<br />�:� �I STGN: ill � FEli: � i2 .c9�
<br />i.' � � $.x.lo' D!F - SH�cr , ' _
<br />b'. ' WIC7'i71.� c� G T�ZoN � ' "
<br />; ' . . � Fnni�,e- Sn+t�n. i ' . ELrC�.�].ICnI,: � S�' � �
<br />� • S'
<br />_ S _. _ruuwr-'pGMsrrc_ —
<br />FncEO. Mour�tttl i T07i�L PL1,S: ' �%• �U
<br />, - :. � :: . � I w i'iM [, Inn..� QG�T£r7 :. ,
<br />. . �'. .. . � � THRU S.�6N F�lAN1E ' . _
<br />`..y'. � d'WQLD.^-7 70 C��r�reS I i .
<br />. �— _ `__'__ _ _' __ _ , , '. ,
<br />. �� ' /� - . � � /�L � � � .
<br />. . ,C� ,SQ PT i rs �'
<br />. �EGhC-�J I,v7o �, � i
<br />, I �
<br />$ " Scq 1�SPE p
<br />i �''
<br />• / 2 I '' I � e�
<br />S�r'vt� s r i �
<br />1 . . �^ � l i � � I , .
<br />� „ , �
<br />�� J� � S16N����°,
<br />rl ._ �, s _, ,. � - —!_ -- -- --
<br />�
<br />EVE��2e�n� w�y
<br />0
<br />_ I; , I i'I �
<br />, 5- � I .
<br />.� --�- � _� I -- � lo-�� �
<br />3
<br />� . " i.=- y' -� F� 'i`—� � �olzz�7y ��L��E�
<br />� :;•;.�, SICGU 5l�Y�C[j 8� AL(� �
<br />Signed �/' (/� ��� �l�— �� , .� Gc./ �21U4i� p�j�
<br />, � �C���Ci�' /-;.�72�/i, Owner
<br />ConLractor L�C!'lR'S� 'A%GC76(/' 1"-�,`�(�' ^-, • , � -} _, : r n `�r �. �. L y�/N,
<br />� '�, Ljcense No. _S.�'.CL. �i- �;�� ; C L , P�"��e'77G8835
<br />/3�� -nr.- 5 v-�2y7 !_v
<br />%��✓,,L/!� l�,>.�„ .l� � . �
<br />
|