Laserfiche WebLink
— -- --� �-- <br />.�- J.-.�. �_ <br />Permit No. _ s..;_ . - -�-- -.... <br />APPLICATION FOR <br />� <br />CITY ENGINEERS <br />EVERETT, WASH. <br />Di21VEWAY PERMIT <br />everett <br />j !_� <br />�� Approved By <br />. <br />��df=.Nr7i:P /� LQ%/ <br />The Undersigned_��' �%• F�- A�E Date Approve� _ <br />Hereby applies for permission to i�/�NST �l r_ i'T"�/ STAnIlJA i-' D =��W _ <br />At fhe following location `� / D- M A � i s n r.� �-r <br />SKETCH <br />IWork to be donel <br />� <br />The undersigned owncn c�reby agrces te huld and sovc harmless the City of <br />Everett from any and all claims for domcges thal may arite because of Ihe <br />installation and mainlenance of the improvement hereto applied for and <br />(urlher agrees to remove same upon nolice from the Ciry and ro replace all <br />public property damagcd Ihcreby. <br />Inspecfor's $ignafure <br />c '�/%.:� �"/�.�C.E�.L�1� �����/ <br />Date <br />LL�LTFc'� C�G/,.�-/PiC,FTF/7 jaic�iC'' � % L' L�f �.t.JL �/��- <br />Remarks <br />(..?' ��i?</��rl?%['%L! - <br />�.. <br />Variance Required <br />Ycs. __ .............__._.. <br />No__.. _ _...._____.. <br />� / i� /fir�� / <br />. . � ./,�'/��i <br />Signalure ol Applicanf <br />,i � <br />� S c� ,l .S % �. <br />Addrest <br />l J <br />ielephone Number <br />I�,� �> — �� � <br />Date <br />� nl n /- r= �-- <br />fce <br />DJE�PT. APPROVALS % <br />Engineers �����`��y�/" 'J:•` /�i <br />Water 1�.���. j , //- /!-7/ <br />s— �— <br />Slreel----� -_. -- -- -- -------- <br />