Laserfiche WebLink
EVERETT, WASH. Approved By <br />) �•. ^/.�S i �- � �vi1 <br />The Undersigned �' � � 0 � cr �.`�� Q'� �� � i ! � _ Da�e Approved _ _ <br />Hereby applies hr permission to_��_,'� __ il l�.t,` �� Cl � f�/) h� �-`� �l.l � <br />At the following <br />SKETCH <br />IWork to be donel <br />Gl <br />_� <br />S <br />O <br />�� <br />The undcrsigred ownen c�reby agrces to hold and save hnrmless thc City o( <br />Everett (rom any and all claims for damages that moy arise because of the <br />installation and maintenoncc of the improvemenl herelo applicd for and <br />(urlher agrees lo remove snmr upon nolice (rom the Gity and to replace oll <br />public properly domaged tliereby. <br />Inspeclor's Signature <br />STF rf/.:C,e:E�� ��27/7/ <br />Dafe <br />/ <br />�= /�`.C.'//1�% 'S�.c?�_-- <br />Call [ngineering DepL '[5"1�8803 <br />24 Hours before <br />construction is started. <br />�p <br />[-��.��er�i� <br />�, I:I...�'�': '..._ i'�ii� - _----- <br />i .`;:;, ::r� DR;UfVA!'�E <br />Varionce Required <br />Yes <br />No <br />2'..�_ � r-. <br />• r,�., �.�1..� - l_���_�_ <br />Scf7TTGF Addreql'N <br />!� <br />? � _� . �. �-r <br />Telephone Num6er <br />Dale <br />s �J�^ rec <br />Fee <br />DEPT. APPROVALS <br />/ , /Engincers' e� <br />Watcr ' "� `.� <br />- $IfCEI . /•',:1, % 1 �,,,�, � <br />Communimlionj °i � ` ��'� � ����"'--'"� <br />�,. <br />Traffic �-''h �-�C ',�r,'�'�'� � <br />Planning �f ��- <br />' �OTE <br />C��Er.K v;�Tr-� v,'nrER <br />, i:�'f. fOii VJ.4TER LIfJC <br />f.�.'�� ATi'i�^JS BCf-ORF �.`�C9V�4TI(ttV <br />r, <br />