|
EVERETT, WASH. nPP.o��,d ey
<br />�'�?,z.y�f- n �D
<br />� � ' ' � Dafc Approved�
<br />Thc Undersigned_ -- __ _ -
<br />Hcreby applies fcr pe�mission to_ - "' n.;'= — .� �•/ " f-:f '�%'_� 1J�-':-. _ ,',—<_, ..
<br />���=� ��'_ � �
<br />At the following localion '�__ - � a--"� � �- -'^' , � ------
<br />�
<br />SKETCH
<br />IWork to bc donel
<br />�, c cV �
<br />� .�C ( \ s` � . ����
<br />� � � � c-�� �� �_ � �cC /N
<br />`\� � �, � '? •, -(�
<br />� � � JT �� � � � � �
<br />�\\ / p �
<br />� - '� �- \.
<br />�._ c � _ .
<br />"b � �
<br />�JG i � �'' �
<br />_ ,` ,,.
<br />`\ �/��.'.� - -'
<br />s��� i'=,so� \ v
<br />---. -�,� .-- --
<br />/N57"A/_ L _ 17S c -i �:r,
<br />�
<br />jrT. �, o �• � --
<br />`.-O,:r '�!i.. .��
<br />�.
<br />� �y��l; ` �
<br />,rA�-��,�„��_
<br />� .. ,: �� ,��
<br />.,
<br />'��3 � �
<br />Q
<br />,k,r is riNG G�T � '
<br />M.a�v�,�a=:�,,v_; ro �`'
<br />L3E CLE.I,�ED WiTt,
<br />WNS//• �Yar, va r — — - "
<br />5TAC � S - 775 C/�1c ✓<.'� � ��
<br />S/6n SRr, C�ca�.� _
<br />' J:l'Ti�.Ol= Li7G.. ,Jf� �'J . �.
<br />—� �
<br />c— - - ���
<br />The undersigned ownen c�reby agrces �o hold and savc harmlezs Ih� City o(
<br />Everett from any and all claims for damagc: �hal may arise bemuee of the
<br />installalian and maintenance of Ihe improv:menl herelo applicd (or and
<br />(urlher agrees to removc same upon notice irom Ihe City and lo reploce oll
<br />pu6lic properry dama�ed �ticreby.
<br />/r�C RetoGNt�-
<br />\�/!� �Lic,ur �=J,�
<br />S
<br />�.... _._,�__ ..
<br />i��.Ji _.� .�. .ii�.,.
<br />v�
<br />� -::'
<br />N�% - /
<br />G/T% :�T,: LUit.�- CUf_'tG ;� vi �.l.� i
<br />rU ,�s� �vn.i:�r-��t',d�`'`:� c,_„�r �----------------- --
<br />/F W O. 7�_u 'BE•% .3L y:�. !/� Nv T pi�T//iN
<br />f_'Etl�vN�,.1GFs%��=,:-� .OTT!/��'PFN�N��
<br />^. �; r/C 5�'C (�� G _F 5Tf1 ?/G/✓.
<br />_ .— _._.
<br />—__- -
<br />_._.;
<br />�ni:.5:4_.'•f" ._��'rlivi� �
<br />�k�C ri�r� rr tivfti c�.r.�,.; L;-ifr,�_ ' (t�t e. sc.�c t; ) I
<br />�� f/�� �!/»irv C"C-iNIGi�CI,r , - , I
<br />r,-r'v- !i ?.� �' ` �.i i
<br />r �� .L. <�Y�/%L� ;�:�jf:� i .�..)�.. �
<br />Inspeclor's Signafure
<br />-. `�%77z �i�iu:,C.rl� � _ 3/ �.'O
<br />Dole
<br />�., w,. ..t _ . „ '
<br />;� ....._._..........__.__..._�._ ...............
<br />5 .� ! :
<br />4 �.... �..;.
<br />. . . .......,_. ....--
<br />:V�-.__ ._._._,- - -..
<br />� �
<br />� i ,' : '. o, I „! �
<br />Vunantc R:qui�r.d
<br />Ycs _.
<br />No
<br />�7fa�.'��A��1. G�/G Cc', C'FGRL/F
<br />(7y �;r,.:` '.'�{(-z.-�,!.i.�..L_
<br />E.9 �c � W S.u,c-cv�
<br />Signature of Appliconl
<br />A, O, �3o y� zZ.o
<br />:�a��/c�lr✓cvsh 9H///
<br />Address
<br />�': ' Lo'/�) L-'.�. 3/ 9
<br />ielephone Number
<br />_LZ(Lc.a�—�:-� � �1��
<br />Dale
<br />$ 70. � � A 37,2/
<br />Fcc
<br />DEPT. APPROVALS
<br />� �,. ,.�
<br />Engincori;�. � � I��'y �
<br />WOICf _%� � —_ G ' " I /' "�
<br />S�lCCI� /VJ- 1�/ J4�
<br />Communicatloni;Tf-�,4J�••°��.��,•. �. "•i::-a--��'�
<br />Truf(ic ' � . ,' _`,�
<br />Plannin`p,. 11. _ !?/'..��, , n ; � 9":�.^
<br />
|