Laserfiche WebLink
—�—.— _. <br /> � .. <br /> � . �1/�2�rT �., <br /> � ' S PERMIT APPLICATION � <br /> SUBMIT EVIDENCE T1{AT EQUIPP7.^•.NT <br /> COMPLIES WITII TIIE STANDARDS ��F , ` <br /> • AN APPROVED TESTING LI�I�ORI�TOR1'. <br /> INSPECTION OI' SIGN REQUIRED <br /> BEFORE ERLCTION. <br /> � C11LL 259-8745 FOR INSP�CTION. <br /> ; .. <br /> � <br /> ; ' Application Date Z �. 8� <br /> i <br /> ' � AnnxEss � �o /— �/,�Gc// TT <br /> I <br /> The undersigned o�oner hereby agrees to hold and save harmless the <br /> • City of Everett from any and all claims for damages that may arise <br /> � because of installa' ion of the improvement hereto applied for, and <br /> further agrees to rimove same upon notice from the City and to re- <br /> �.. I . place all public property dar�aged thereby. <br /> �• ' • VALUE: �2 D U D <br /> �__ <br /> ! CIRCUITS: � <br /> , , <br /> � FEE: <br /> v;` <br /> GLECTRICAL: ,� <br /> �,:r. <br /> TOTAL FEES: <br /> 1 d�, <br /> �I�.. 1' ..,.. � ' . , _ . . . . . . _ . <br /> ����. �.:1'. <br /> ,_`� . <br /> ' t�{�{j�1. <br /> PyTyr . <br /> d'f��' � . . . . . <br /> y;nP . , . ` .. <br /> �l'�.?j:.. . <br /> 1�� Yy, , r <br /> � } <br /> ':.. . <br /> � . /—� <br /> F / • <br /> � � • Siqned � - � Owner <br /> Contracto • /���-�`•� •• n/ 4i ,/„/ C°o2P • ' I <br /> ' License ?10. I <br /> .�i - <br /> _ .._' . _ I <br /> ;i � • , \ ' . I <br /> i �, ��, . v a <br /> j .__....._. <br /> i <br /> � <br /> I' <br />