Laserfiche WebLink
i <br /> l',` <br /> -----r� -----_ � � ! ' <br /> I � � <br /> c w I <br /> � � � � <br /> �� , � <br /> � <br /> � <br /> -___ <br /> o �� <br /> . <br /> � <br /> The undersigned owner hereby ac�ree� io hold and save harmless fhe City of Variance Required <br /> Everetf from any and all claims for damages that moy arise b�..�us � of Ihe <br /> Ye s......_._......_........ <br /> installation and maintenance of the improvemcnt hereto applied for and No........ <br /> . _............_... <br /> further agrees to remove same upon nolice from the City and to replace all <br /> public properiy damaged thereby. <br /> :�.'�.' '- <br /> ; ( +' �' Signafure o( Applimnf <br /> Address <br /> ielephone Number <br /> Date <br /> Inspecror's Signafurc �n j; /� �,. , $ r00 <br /> .�LL�Q�"� .J n U,�. <br /> 1�� Q_2�St.-st lT Fee <br /> Dale �1"'Q',�'��� <br /> DEPT. APPROVALS <br /> Remarks Engineers �� ; 'O— 20— 7/ <br /> Noter <br /> ___ Slreet " <br /> CommunicqfJon:�1���*-��--«��� -� <br /> Tmffic J�1 �.``°I/3' �i - /�l• 7/ <br /> � Planning 2NS <br /> Cali Engirczrin� Dept. 259•8803 PI;O'JIDE FOR _-� <br /> 24 Hours hefore i�ilOPER DRAINAGE � <br /> ronstruction is started. � NV « I <br /> CHECK�1`l17H WATEf7 <br /> D[PT. FOR 1NATER Lli•:E <br /> ',.00ATIOPJS BEFORc E>:CAVAI�IUN <br />