Laserfiche WebLink
y��.,r�...... �_..�.�._..�.�.�_�':r-i� -� T <br />��,J <br />. <br />SICN YE.tM?T APPLICATION <br />SUBPIIT EVIDErCE TIIAT E�UIP:SEP,T <br />COh1PLIES NITt? TIIE STAh'D,1�D5 OF <br />AN APFROVED TESTZ�G LABORATORY. <br />INSPECTION OF SIGN RE�UIRED <br />BEFORE ERECTION. <br />CALL 259-87G5 FOR INSPECTION. <br />APPLICATION DATE . � '� . �% '- ;1 <br />A'DDRESS <br />T;�e undersigned owner hereby agrees to hold ard save harmless the <br />Cit:y af Everett from any and all clains f�r da�ages that may arise' <br />becaase of 3nstallation of the improvement hereto applied for, and <br />further agrees to remove sane upon no�i.ce from the City to' und to re- <br />place all.public rroperty daciaged there6y. <br />� o c� <br />.--vnr.ue: , ��n��-� <br />cixcuixs: _� ' <br />r--Fee: � I'Z. oc_: <br />ELECTRIGIL: `_� - � � ' <br />. �� v <br />TOTAL FEES: "�� - <br />�— - — % '^' ll�... _ .._ <br />� <br />: <br />0 <br />w <br />,0 <br />: <br />�o <br />. � <br />. i = n '_1. <br />/o�v" <br />�`�C.��� � �5 �:�, . <br />�. 5 l (.�� � 'ro I � c:��:.. _� �.,, <br />� � ._. o , �-��-�E _ AG .e.��� ����� <br />STGNED �,C�/!�ADw-o�Pt-.oz,r , QWA'ER �P1�,1�� <br />- . <br />CONfRACTOR ��i�1J �-� �r/. i�/. �,�ic . . • . <br />LICENSE N0. �/F _ A % -L/A/ -1� , � �/� � � EJ <br />. <br />