Laserfiche WebLink
—� <br />._ ., , , <br />. ,_-, <br />Fermit Na. _ °-- =:.'�-- _..... <br />A.PPI.!�:ATION FOR DR?VE`JV"r'," PERMIT <br />CITY ENGINEERS <br />EVERETT, W/,SH. <br />e�'(�r��tt <br />�� <br />� <br />- ---�'.�,/�'/ - / - <br />�-- Approvea P.y <br />. �'FOJ"F. HI�Q �� �%� <br />The Undersi�ned �.�T. �� iT� f-I f N So N Date ApproveJ � <br />/ <br />Hereby applies for permission to� D,��S'T, �1 �'. l7"� STAnI/7/;�r''>� '/1�'/ <br />Af the following lomtion �S —��'� �/�l_> �� �'!:' �. <br />i <br />SKETCH <br />IWork to be donel <br />A <br />M A'-� I`-� o N <br />The undersigned owner hereby agrees to hold and save homless Ihe City of <br />EvereR from any and oll daims lor damages that may arise because of iSe <br />installalion and mainlenance of the improvemenf hereto applied for and <br />further agreex fo mmove same upon nolice from the City and to replace all <br />public properfy dmnoged thereby. <br />Inspector's Signalure <br />SJT"Lr" CHEG,c�i=.l� ���.c".�f�7/ <br />Dafe <br />z� <br />, ') "; <br />�T. <br />z� <br />U <br />Q <br />0 <br />� <br />Variance Required <br />Ycs_. __._.___..__..... <br />No.. _.._ ................... <br />1"=6� <br />-� � ����,:/ , <br />i SignaiLre of Applimnl <br />�. <br />� - / <br />Address <br />`' .=; - �..�c- ��J <br />Telephone Number <br />� <br />��C r� /_. � 1 � /� % <br />� <br />Dote <br />s �1.�,� �...,�,� .�_�_. <br />Fea <br />u:�'!�. APPROVALS <br />•� � .�` �^ /i,'� <br />Engineers- %'�`�s:J� y •.�'��/�_ <br />��-Waler �L'ii' �' ._� ._�.�� <br />