|
�
<br /> . ..,,�, � .,�.:��.,. ��. , ,,�.�,��.��,�<
<br /> �/ .
<br /> ' SUii:7I`I' IiV.T.I)]:1;C1; 'PIIA7' I;QII]:PMT:NT � � • �
<br /> ' � CU:!f?IJ:P•.S p;I'1'll 'iIIT �TAI;DhI>DS OP • 7Q�� y .n �
<br /> ' I,t� i�l�Yl<OVliD 7'1:ST;:NG S,AISORATOI2Y. � � '� ' / Y��G� � .
<br /> � � � .
<br /> ICSPI;C'P70id OJ' S]:GN REQUIRP•.11 . G 2 � ( L�y�'f�1
<br /> 1;�'r'U1tJ; �:�:�x��rrorr. . � ��(
<br /> c��Lr. �59--f3'/4s r•oit rc�sPr�c1�roN. � � � •{���,�.,;�
<br /> • �,,�< �
<br /> • . ' ApplS.catS.on Date _ G �S_��.
<br /> ADDFtGSS - �Z �n f� � f_U EIc�.� 1' ( • �1`' U L ,. � .
<br /> ihe under�igno:3 oe:ner her.eby agr.ces {:o ho].d ana save harmle�s thc
<br /> City of };ver.ett irom any and a7.1 claiias Por damaqe:; that tntiy ari�e
<br /> b;.cavse of .S.n�Lal.lati.on of ihe improvrment hereto ei�;�plied for:, and
<br /> S:urther. aqrees to r.emove same upon noii.ce fa:om thG Citl� tind i.o �:e-
<br /> place �i]..1� lnibli.c p�-operi:a� damaqed thereby. �:
<br /> 0
<br /> . . . . , . ' . � vnr,ur: --�p �. . . . - . . .
<br /> • ' � t : • ' . . .. CTRCUTTS: . �i � "
<br /> . •. �:' . .
<br /> , . :i :.. . . ; .1 Pl:. . _ , . . ,
<br /> _ . ' ' ' • ..: , ,.., .. r 73T�L'CS"]:SCI�L: . . . , •
<br /> � . TOTI�I:.•FI3li5 : ' .
<br /> � ;/�c.��'rs . � , . .. .... � .
<br /> . . : , �� 4 �. . . ". . .. , ' '
<br /> , " , : � ; �" • • � � .. i:..i
<br /> � : • : � � � �.z/ ''�C� � ' � � ; . .
<br /> . : a 1,� . _ . .
<br /> . . • , . ' � . . �<
<br /> •,<.' . .. - . . � . .. ' . : . . .
<br /> .� ,. �- ��. . . ' ` : . ,t
<br /> ' ����'� � � • . ' ' . .. ; . . .•
<br /> ' �, - tl , �. . �:/.. �/ � � : -
<br /> \� � : ' . ,� � . ' . .
<br /> �`'. Signed ' ��� �,� ./ • ' . ,
<br /> ..�.�(LG� O�anei-
<br /> ��' Contractor ' ' :.S�G� Go d � , '
<br /> ., ��_ r �'t.�! ///ool- �o-,-,,�,�.
<br /> ��, p� '`18 5�%/
<br /> � � or �.r� �
<br /> Liccnse I�o. ._c��,.._--` Gi ----
<br /> v . . .
<br /> "� • . `-�. ,
<br />
|