Laserfiche WebLink
SIGN PJ:RtfIT APPL?.CATION <br />iU6AfIT tiVIDENCIi 'TF1:iT F.QUI.PPIE;�T <br />CONPLIGS W1Tti T11E ST<1ND�II:DS OF <br />AN APPROVF.D TESTItiG L��AORATO::i <br />INSPECTION OF SIGN REQUIRED <br />II6FORF. ERECTIO;�. <br />CALL 7.59-8745 POR Itr'SPLCTION. <br />ADDRGSS ��"�7 / ` l�Gk�/�- <br />iY <br />3509 I�ropdway � <br />25°-9175 Everett, �Va. 9b::t i <br />� <br />i�.���ti _ �G'�J�.ce-}. <br />APPLICATIO\ D��TIi /d-�a��/ <br />The under.signed ownen c�rcby agrecs to I�old anL save harmless thc <br />City of F.vere[t from any and all clains for damages that nay arise <br />ber_ause of inscallation of Che improvenunt hcre[o applied for, and <br />furthcr a�rces Co remove sanc upon notice fro;n the Citp to nnd to re- <br />pinee all public P�oper[y damaged thereby. <br />M— <br />5� <br />i <br />io <br />Sc�� <br />� �� <br />.��.�i� <br />-V�� <br />�' <br />P��Q-r� <br />iL�Nr� <br />VALUE: Q7!%O '� <br />CIRCUITS: � <br />�.-. C9C� <br />FEE: ` — <br />HLECTRI(:AL : <br />TornL re}s <br />� <br />I <br />( <br />r �U <br />� _ <br />��.� <br />3 q �r:�+ <br />Si DG Wl�u` <br />��.' <br />S: � c�Ntit�� <br />� � <br />I .. � �' � � +-� �> <br />�i � r'� <br />r 1 �l c <br />� / 1 <br />r /,; ,c��� <br />sicwF.�'�C�XC"• � , �-�l;l'�',�.1L._� o„�raen �� u� l2��.�?) <br />�v� <br />CONIRACI'OR _ �V-RFTi c�c�a�iy�fJY � <br />� <br />2;'00 HEV':Il i I'I I. ' � �� 2 � /'� t� <br />LICENSIi N0. , rvr�: i � �rr. , � ,'/ `��•�� /` �1% <br />_ a <br />' !rs/. ! i� � .�—. ( ��,.,. � <br />