Laserfiche WebLink
p� ; <br />Permrt No..__. .SP.7.1----.---- <br />APPLICATION FOR pRIVEWAY PERMIT <br />�ITY ENGINEERS <br />EVERETT, V�fASH. <br />everett <br />,—����� � <br />�1- �-f/ir�,� <br />`�"" Approved Dy <br />. : �/�i1sT 3%_/�l7/ <br />1 he Undersigned ,i'. :�" , ' :! � '^ . .` M'.":' �.: `�' � Da�e Appro�ed <br />Hereby applies for permission to ���N S'f' U' ��� /a -`> D q (�� i � { u C- �� �' {>> �� r.(�Gl� <br />AY fie following location � � '�� � ��� ��°: ��i�� f' "`�" _ — <br />SKETCH <br />IWork to be donel <br />C �°: <br />� <br />q� <br />The undersigned owner hereby agrecs to ho;d and zave harmle3s. Ihe City of' <br />Gverett from any end all claims for damaget Ihat may arise beca of INe <br />installdlion and maintenanre ef the improvemant hereto applied .tind <br />fudhe� ap;ees to remove snme upon nohce from the City and to replace all � <br />pcblic property damaged Ihereby. <br />-- . . ,.. ��_. pp� <br />tAlU'--�CALC� <br />�, <br />---•.-_.,..,_,.,._�.�— �r <br />���rl� <br />. �-_._.__._..�.�-- <br />--�.._ <br />Inspedor's Signalure <br />/ <br />.Si'Tr= r�.`�L=-G..r.'�=%) �S L>��/ <br />Dalc <br />Remarks <br />\ <br />�� <br />I'�_ S <br />Variance Required <br />Ycs..._ _.._..._..._.__.. <br />No_.__...._........_... <br />:K � .+:/�,� ! l�/±. ��� s.� J� <br />j..', - <br />Signalure ol Applicanf <br />� i�� /� <br />�, ,- J I_ / , 1 <br />. � �,. <br />"Address'� <br />� <br />i i�'/:r X'� _ <br />� Telephane'Number <br />�_ ., _� _ 7i <br />Dale <br />5 � �4i <br />S�n� �� ����, <br />Fee <br />UEPT. APPROVALS <br />Engineers � �' <br />Wa1er ' . �� V <br />Streel ' �. '. ; a.t. ��% �� .. <br />