Laserfiche WebLink
:� <br />rn <br />\1., <br />_ � �—" -_� 1 <br />The undersigned owner hereby agrees ro hold and save harmless the City of <br />Everett from any ond all claims for damages lhnt may nrize because of the <br />inztallalior and mointenance of fhe improvemenl herero cNplied lor und <br />further agrees to remove same upon notice {rom the Cily and fo reploce all <br />public property damaged thereby. <br />Inspecfor's Signafure <br />sirr� l'li�ss'c,��'a /�/To <br />Dafe ' <br />e <br />Variancc Required <br />Yes......... _...... _ _ _..... <br />No.___. _.....___.... <br />� <br />; <br />�� r <br />-� <br />�:�.�;'LL� i�� �C�r �.� L� �� <br />� Signa�re of Applimnf � <br />/u o c � ! ..sua.<1L�k� � - - <br />l�r�+t? � �'-Z"_ � t � <br />,�ddress <br />35�— /d��6 <br />ielephone Number <br />.iGil[� �8 ���7� <br />Dale <br />a �o ° � H-z9.�'4 <br />Fee <br />DEPT. APPROVALS <br />' � �l �`.z.sa�o <br />Enginee � <br />Waler� � <br />$ireel _ <br />Communicafioris a <br />Traf(ic <br />Planning <br />r <br />. �,:,.,. �i�:..�. I <br />