Laserfiche WebLink
' r�rru�.�i w�� �, �•• �wn i•ur-vrH r uat rtnmi i 1.�.�� � <br /> everrtt � <br /> ,.j � � <br /> �' U � � j,�� ,�,n'1 L:� �T= <br /> Ly.,��l,� d <br /> CITY ENGINEERS �� <br /> EVERETT,WASHIN�N � � PERMITNO. — <br /> The Undersigned � � � r /� �l n� Ch7 C'S _ <br /> Hereby applics for permission to 7 � ' �' �- �-�'�-���-- � � �✓� '� �� � <br /> At the fctlowing location / �'07 � �SUC.v ,'l �' 'r� � t ( . ��- �' � �F_f_5.,- <br /> SKETCH <br /> (Work to be done� , <br /> � <br /> I <br /> ,L , ; � <br /> , � <br /> a � <br /> �' `S'S : I <br /> \, <br /> � <br /> � � <br /> / �ti <br /> � o`�l I <br /> \C� �4�,� _ "� Q�;U� � <br /> �v� <br /> � '��'C , f <br /> DRIVEwAY SECTION The undersigned owner hereby agrees to hold and <br /> NO SCALE save harmless the City oi Everett from any and all . <br /> �`—'— —� ctaims for damages tha[may arise because of installa• . <br /> �.� ��P tion and maintenance of the improvement hereto <br /> � applied for and further agrees to remove same upnn � <br /> ����------�30--j no[ice from the Cih/ and t�place pubtic properry <br /> dama,e th i� , ' <br /> CL. <br /> � �Sig�ture of A�plicant � <br /> c7, C , �:-;< �3c�' ��' 9�1 <br /> �OPl' 0� THIS APPLICATION TO Address <br /> ..3 3��'-SC)/� <br /> I Ec POST[D ON JOBSITE. ` <br /> i Telephone Number <br /> ' �ALL "eNGINeERING DEPT. 25&8817 _���•, �7 S� <br /> I '1 HO:JRS GErORE CONSTRUCTION � Date . <br /> L.----__... — <br /> CHECK LIST Fee <br /> Water va�ve Dept. Approvals <br /> Drainage <br /> Curh &Gu[ter Engineers <br /> - Sidewalk Water <br /> Street <br /> _ ._ Communications � <br /> Inspf•ctor's Signature <br /> Traf fic <br /> Planning <br /> —6ate ------ • <br /> R""'°,ks---- 1128 ?_ <br /> Approve� by <br /> GUSTOMER Date Approved � <br /> ...M;...._ _:.. , _". __.:..-�.._�.-.......,.._..._._'.._..,-._ ._��__.--__'....._. ._...._..._'_"" ___ ___—_"___.___'_—_'_.—_.__ ' <br />