Laserfiche WebLink
��7 r EIdGINEE�S • ,� �'w�-� <br /> EVERETT, WASH. Ap o�ed By <br /> . tr(��h ��, �gZo <br /> The Undersigned '�=�'�� �� � ���'�r',_� _��,�/�, � Oate Approved <br /> : <br /> Hereby applies for permission to ���✓s T �✓���'1) `r��{ i'� ' ' �"%� --"�%'r%� <br /> f = /' ' .�- ' .=," .q5 �'1�4GcJ/V <br /> At the following location�9� •f�'':-:�r�'•'-:��'�y <br /> � , <br /> 0 <br /> SKETCH <br /> fWork to be donel <br /> 14 <br /> 1 <br /> �s � <br /> i`=4-o, r2. � <br /> � � � <br /> .�/�1NT/NG��A �EA I�. Q <br /> sc r F�'n�c� rol �i <br /> �;� k yti��Y�1 r 8� .�; �f a � � <br /> � � .�;Or:V.i��:-`-- � ••. � <br /> � ----� u s --ir .P� 1 5.) <br /> � � �' Q <br /> - ---- . — _ -. - -_--T,�s.�.- �- -_----. . _-- -. _ � O � <br /> /.5 �/� � ' - � wr_Yr'� � (1, <br /> ,� S' �''_' __ �::` � Y✓� l�✓�, v> :.. -_ �� <br /> � � � <br /> V�i �� L L S 7—RE� T � �� <br /> =--- - - I <br /> .� <br /> , <br /> The undcrsigned owner hereby agrces lo hold ond save harmless the Cify of Voriance Required <br /> Everetl from any ond all claims for damoges thal may arise because o( the Yes. <br /> insfallalion and mointenance of the improvement he�eto applied ior and No. . <br /> furlher agrces to iemove same upon notice irom 1he Cily and to replace oll � ���� � � �� ���� � . <br /> public properly damaged fhereby. � <br /> / � <br /> /VOirE' / �" . _ "„ � � , �.. ,: .. <br /> FEN�� ?D B� ��' :-'�lCl%-- ,'z���. <br /> SG.d r :';i . `�� G . ignature ol APPhmnl ' , <br /> � ' N/G ����' �-���"; � ;�; ��< , 9 <br /> /J/d��/� �q � Addret� � <br /> �� C".ZC.z�; � ' <br /> �/��a�/-�c /'<c' �;�-�,u.�v /'-r-L , -,:?�i�— <br /> �/�� � ` ,. <br /> 7 „ 7elephone Number <br /> e1�i''' � Ic' L�,01Tn��-l�-l_: ',���� /�`- <br /> Dale <br /> Inspecfor's Signafvre $ <br /> r�/-L iJ C i�Fe �e�G i) 3��7�' � •� Fee <br /> y���C.�-�3 y�� <br /> Dafe <br /> D[PT. APPROV�LS <br /> i�.j� ' '� ' .. <br /> Remarkt Engineer � - '� 3/'L ' O i <br /> Wate - u' -,)'�:`. <br /> Slmef��-� � - �� ' <br /> ' /` , <br /> Commvni�liont.�y7 - � ' <br /> Traffic ��' � � � ' � <br /> Planning <br />