Laserfiche WebLink
EVERETT, WASH. <br />The Undorsigned�/ � r�' _ <br />Hereby applics (or permission to__ <br />At Ihe following localion—'� <br />SKETCH <br />IWork to be donel <br />�� <br />9 <br />\. <br />The undcrsigned awncr licreby agrees �o hold and save F.armless thc City o( <br />Evereft from any and all daims for damages Ihat may arise bemuse o( fhe <br />insfallation and r�iaintenance ol Ihe improvemen� herelo applied far and <br />furlher agrees to ranove iame upon nolice (rom ihe Cily and to replace all <br />public pioperty damaged Ihereby. <br />Inspecfor's Signafure <br />Sir- _,� . .,� _:� 4 /E� -7/ <br />Dafe <br />L'all En,ineerin� Dept 25y 8dp3 <br />Z� NOUf$ D°IOfP <br />construclinn i; sl,�rlad, <br />-_�.- - � _yiL_ <br />Approved By <br />��.�:� i� /97.L <br />� oo��o��a <br />ti <br />. � ��\'� 1 <br />.y <br />�.,r <br />;P):..`�i <br />IFROV�IiE rUlt - - <br />Pi;'Ji'CR D�2AIiVA':C <br />i <br />I_.. .�_.__.-- <br />� <br />; <br />Varionce Required <br />Ycs . . .... .. _. . ._.. <br />No. .. . ___.. <br />i <br />" I <br />\ <br />\ � <br />.y . -... ` / l _ l � '� <br />` Signaiure o/ Applicanl ` <br />� <br />��_ � � <br />- '� <br />����` � %� <br />Address�! <br />.-� _" ' <br />ielephone Num6er <br />/ <br />, l i � ���/ <br />DOIC <br />S �y, i <br />� f �_ �-. <br />Fee <br />DEPi. APPRO'lALS / <br />� � <br />Enginecrs ' ^ �� f' _��� /7� <br />'� Water r ..._.�.� �. :', j� <br />� Street �' � <br />j Comm�nimtions " � '' �' � <br />.� <br />i Tmffic ! '� _ <br />Plannin . �'��••'� / <br />j � . <br />� <br />!1 i----- �- <br />I NUTE <br />�'"('K 1�'tT'i 4141TER <br />.. .� ., r..i i ��.ir � <br />