Laserfiche WebLink
Permif No. ��7�.�._ __ <br />APPLICATION FQR DRIVEWAY PERMIT <br />CI7Y ENGINEERS <br />EVERETT, WASH. <br />everett <br />, ./ J <br />;��;�i.i_ <br />Approved By <br />The Unoersipned � ( ,, _ �' p � "-�" �G �' � �.y-�1-L <br />.� Doln Appmva', <br />Hereby applies for permission fo � � in < f Q � <br />/� �/�� <br />At the following Ixalion � _.�,[�__� <br />SKETCH <br />(Work fo be donel <br />� <br />V) <br />r <br />\� ��C lA Ih1 C� Y C_ <br />The undersigned owner here6� og�ces lo hold ond sovc hormless thc City of <br />Evsrett fiom eny ond oll cloims for domoges ihol moy arise because of Ihe <br />+n-i�ll^�ion and mainlenonce of Ihe improvement hereto opplicd (or ond <br />furlher ogrnc. fo �emove some upon notice from I�e Cily and to replocc oll <br />public property damoged thcrrby. <br />DHlv6v�r.Y. -. 5[CTION ------ <br />iN0 SCAL�� <br />ro" „ <br />.�...._": �_. . ._.. __ ,_ r. Sc <br />�`� _ !, �� . -. -."---._.,._� =� � <br />, . <br />,__�,� r� ,.__.._..._.-------"� <br />,� _ . _ <br />. � __ ' --' � -� <br />I <br />Intpecloi s Signa�ure <br />. �,: � L` _i._1:��._:'�t_.i_�'F���' <br />Dale <br />Pemnrkt <br />� <br />`I� _-_ <br />11 K. ( / <br />� <br />Variance Required <br />Ves <br />No <br />}�. ' f .'" . _ . , � <br />Signol�re o/ App!icant <br />--_[__��_C C L <br />Add�ess <br />--3 s � - /.� r 3 s-- <br />Telephone Number <br />�s��j�7/ <br />oa�� <br />E (, ��� ���1 <br />. �. � <br />Fce <br />DEPT. APPROVALS <br />� � ' � i" / <br />/ <br />Enginecrs.�_ � y���' // �" ( �'y/ <br />Water��_ <br />u..,, � <br />