Laserfiche WebLink
Permit No..J�._7�......... <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The <br />Hereby applies for permission to oNsTh 'i r 4 � o H A l_ T C! v/ <br />At the following location 3 4./ ) 9 - N AXE z3 5T <br />everett <br />Le....) <br />Approved By <br />Date Approved <br />SKETCH <br />IW.ork to be onel <br />i <br />I <br />I <br />f <br />\45' <br />i <br />� <br />I <br />I <br />I <br />--- \\—' <br />-17 <br />\W _� pC/vrGOG <br />HAYS <br />G <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims for damages that may arise because of the <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove some upon notice from the City and to replace all <br />public property damaged thereby. <br />rJ IVE1v'AY_.SE.CT"ION <br />" NOTE <br />\ CHECK WITH WATER <br />DEPT. FOR WATER LINE <br />\ LOCAT !^,N5 BEFORE EXCAVATIMI <br />PROVIDE FOR <br />PROPER DRAINAGE <br />355ri <br />8orr <br />4 <br />Variance Required <br />Yes. _._......... <br />No............................ <br />Signature of Applicant <br />,�(/,eQEJ7Addrest �(/� <br />Telephone Number <br />I <br />Inspector's Signature .. <br />Date / <br />