Laserfiche WebLink
Permit No. `_— _....__. V <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned <br />Hereby applies for permission <br />APPLICATION FOR DRIVEWAY PERMIT <br />ffl <br />At the following location <br />_ f <br />SKETCH — <br />(Work to be done) ) D <br />FRU, <br />' NiirE <br />CHECK Wl-Ff WATER <br />DEPT. F0 t i, '1I CR LINE <br />LOCATIC,NS LEFURE EXCAVATION <br />,J Z L Z: Y <br />everett <br />�,e�l <br />ApAroved By <br />r <br />_rj LA ! r <br />1, �o1 <br />Date Approved <br />ai <br />� <br />t <br />, <br />[Oil <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Evere'', from any and all claims for damages that may eiise because of the <br />installation and maintenance of the improvement he!e!a applied for and <br />r,,rther agrees to remove some upon notice from the City and to replace all <br />public property damaged thereby. <br />C10 <br />% /� <br />Inspnclor's Signalure <br />Dote <br />/4 C/E/VU�E- <br />Variance Required <br />Yes <br />No <br />I <br />Signalure of Applicant <br />Address <br />Telephone Numbe: <br />., t V fr Fee <br />DEPT. APPROVALS <br />P� <br />Engineers <br />Water <br />Street <br />