Laserfiche WebLink
Permit No. ../...... <br />everett <br />APPLICATION FOR DRIVEWAY PERMIT <br />`r <br />CITY ENGINEERS Ct <br />EVERETT, WASH. Approved By <br />The Undersigned _ try ,j_�l ' O %f1 A) Date Approved <br />Hereby applies for permission <br />At the following location -elz6 — /-/A 0 / S O 4-,l) <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims for damages that may arise because of thr: <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove same upon notice from the City and to replace all <br />public property damaged thereby. <br />Inspector's Signature <br />/Ts Cflr«E'�/7 /2IZ1171 <br />Date <br />A) <br />4 Water <br />Street. <br />Variance Required <br />Yes.......... <br />Signature of Applicant <br />1-42 6 - MA or.sv.v <br />Address <br />Telephone Number <br />Date <br />$ �,)(9 F€ <br />Fee <br />DEPT. AP? OV L <br />/Z <br />A r1 zz 7/ <br />