Laserfiche WebLink
_ -. f <br />' �� / ! .� .. li <br />. � �Y <br />Peimd No..._ i.r. -�-- _7� l <br />APPLICATION FOR DRiJEWAY PERMIT <br />�ITY ENG!NEERS <br />FVERETT. WASH. <br />, � � <br />The Undersigned �' / "�'���� � <br />' <br />Hereby applies for permission to �'' � t' �� �� <br />At the following location <br />SKETCH <br />(Wurk to �e donel <br />� <br />� <br />� <br />1 J . . r <br />� <br />/ � <br />l_ .�l,F'G %iY �,�''/ V�...� <br />�1 5 P. <br />�a ::; � <br />ai <br />�v 9 aq• <br />�aas 't <br />� 3 <br />Z � I ^ 3l C <br />� c'{' <br />'\ <br />I 7lP <br />L _. - --� �_-=- ---- - <br />The undersigned ownc, hereby agrecs to hold ancl suve harmless ihe City of <br />Everetl from any and all doims for damages thot may arise because of thc <br />installalio� and mmnienance of Ihc improvement herefo opplicd ior ord <br />lur�her agrees to remove same upon notice fron� ihe City and to reploce all <br />public prop�rty damaged fhereby. <br />� � �. , / i'/ ' `. <br />i .� / <br />'� � i � � �� 1 � , <br />' L �C` tC <br />�'�' '`-/—f�� `�C � ac�" ' _ "� /_ ` . <br />Inspedoi s Signgidre " <br />i., � _ <br />���; �; <br />_ / : : <br />Dafc <br />�75 <br />everett <br />��a.� v, ��-�.,�..` <br />A oved By <br />f�;�� l i l 14t�� <br />Dale Approved <br />� ���: i: i._ <br />i ' c �"-J � <br />Variancc Required <br />Ycs_......_....._ .._..... <br />No. ._._. _....._..__ . <br />� � � � <br />� , <br />/ ._s' �.�'�...:+�,- ,' _..: ,il <br />Signalurc o/ Applican� <br />Tclephone Number <br />Date <br />� __--- <br />Fce <br />DEPT. APfROVALS <br />