Laserfiche WebLink
Permit No.�..?Y..�.�' <br /> - - everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITI ENGINEERS��, �"�j<� , —"���',�,rf <br /> EVERETT, WASH. � Appm�ed ey <br /> �.Si=f� �-1.[3Ff>��7'J <br /> The Undersigned_� SG�� iTC��'h'Eit' Daic Approved <br /> Hereby applies for permission fo. G�� `�T �� � � 5f� ���v� <br /> At the following location f�� �� '"�-�� P`���� <br /> SKETCH � <br /> IWork fo be donel <br /> � I Zi 2.Z� <br /> t <br /> W �g <br /> n' 2°� <br /> � 19 <br /> � � <br /> ��P \ � 40 <br /> � � � , 4�(j �. <br /> 0 <br /> � � H\� 1 Q <br /> � � <br /> � � � P <br /> v �; <br /> _- - �� •�� GP <br /> _`__.!r45P DRiVE. � <br /> ��C'4 �7 <br /> -- Q�/(/�c <br /> � <br /> The undersigned owner hereby agrees lo hold and sove harmless Ihe Cily o( Variance Required <br /> Everetl Irom any ond all daims for damapes Ihal mny orise bewuse of ihe Yes . <br /> inslallation and maintenance of ihc impr��ve�nent he�e�o applied for and No <br /> (urlher agrees �o rcmove tame upon nolicr. trom the firy and to replace all "j;�: , • � <br /> public property damaged thereby. <br /> I�.�.��.��.�.�. /.. - .� r <br /> , DHiv¢wr,f-_._�EcrioN � " / � � <br /> � (N O S C A(C � r"_Y.-_-.�._—..___--_....,. / ���l%� !/ �. ,: : , <br /> � LRIVE\JAY. . S[CTION . " ���� <br /> � � Signolure ol Applitanl <br /> „ � q <br /> 'i_v.� . �� �i . ' ii71 `i�j I;- - f-�Vl~ / <br /> . ' . . . . . ._-__-,Ir 'c_.�, ' -- . __. _ ' Ad ress �// <br /> ' " . _ __..�. <br /> • /7.._ . __. ._ ... _ . <br /> / . i IL J• <br /> � \ I <br /> �' ,.. . . . . .. . ..... � .. ...... � ... .... �.��..� \� „ �' � ~��.� /� /� � � `� <br /> {�-----=--- 1._,t,.__ � . _ <br /> Telephone Numbcr <br /> ' <br /> i � <br /> �—d.;%- '�J <br /> _._.._._..__._ _(!_ln Se.,l: ) - <br /> ....._.__.� ------ . __...___-------_ oarn <br /> 1 <br /> Inspecloi s Signofure ' NOTE s ^� � �-�U jc <br /> CHFCR V✓17H 1;�4TF"F' Fee <br /> `�/T� C _i`f�-l;�C-������i,� ,. i)I��,� � � �;; 1:�niLRL��,p <br /> Dafe . . . � -r nR( . . ,. . � <br /> DEPT. APPROVALS <br /> J/., <br /> „ ._�, <br /> Remarks Enginecrs �GCi:"%' :� -�"C <br /> Wolcr L <br /> __ Shcef__ _.--.— <br />