Laserfiche WebLink
EVERETT, WASH. <br />Approved By <br />Sf-` , r-r='^�l./3<;� i�/4''7"/ <br />�-" -��- � Dale Approved <br />The Undersigned___= � ' _ <br />Hereby applies for permission to � '/�� %i i' --,'i' ,;'-: ; _ - , � _ <br />At the following location <br />SKETCH <br />IWork to be done) <br />f- <br />-- 1 �,'i F. "; ' - _. <br />2� 2z zi <br />^h I <br />I..-. ._ _-f._ _�•-:_ �] Oy.. <br />M A L I�� O P�l <br />The undersigned owner hereby agrees to hold and save harmless Ihe City of <br />Everett from any and all claims for damages that may arise 6ecau;e o( Ihe <br />installntion ond mninfenance o( Ihe improvemenf hcr<fo applied for and <br />further aclrees lo remove same upon notice from the Ciy and to replace all <br />public pruperly damaged ihereby. <br />Inspectoi s Signafure <br />s r�_c'��c,�'rv y�2-?.�iL <br />Dafe <br />Remarks <br />�1. <br />J <br />zo <br />� <br />Q <br />u <br />Variance Required <br />Yes... _ _ ............ _ _.. _. <br />No... _.........._......._.. <br />y� . �� , �� �/ <br />�.. �_ r-/� .�, <br />�� Sign�ure of Appiimni <br />= �., . <br />- � . - �� ,_ . __ i <br />Address <br />.�.J.7'.- •,:JCrS[� <br />Telephone Num6er <br />—��f= /- . . � -�, � `i %/ <br />Dale <br />S ��°�! f f' ,�- .G _... .. <br />Fce <br />DEPT. APPRO/Va4L5f / <br />Engincers- � y/ �r%�`�'-j' �� ' "� <br />;`Weter �T.-,T' '7- 2�-7/ <br />Strec1 - —'�-- -- <br />Communications T-�� �' — <br />Traffic r?iY i'.`i.�=�-°;�. i�, :� <br />Planning /�= �-� �� <br />' +'RQViDc FOF <br />II . y,in��ricg Cept. <�J �o�,i ' NOTE PROPER DRAINAGE <br />; r;. ,�, .,��_.v,,, <br />24 Hours 6efor@ I �F��CK 1h'ITH WATER �`., <br />\ D�'PT. FOR WA7ER LINE � <br />� onstruction is starte�, \ 4_OCATIONS FtEFORF EX6AVATI�N� ,�_ <br />�-... .�.�.. <br />