Laserfiche WebLink
Perrt,if IJo ... ..... ........._......_ <br />CITY ENGINEERS <br />EVERETT, WASH. <br />i <br />The Undersigned.� <br />Hereby applies for permission <br />At the following location— <br />..--; G' <br />. <br />SKETCH � <br />IWork to be done) <br />APPLICATION FOR DRIVEWAY PERMIT <br />`� . /. - .. � . � <br />�.��_ �il �'�.i <br />The undersigned ownen c�reby agrces Io hold and save harmless Ihc City of <br />Everett from any and all claims for damages Ihal may arise because of the <br />installation and maintenance of Ihe improvement hereto applied for and <br />further ogrees lo remc�e same upan no�ice from the Cify and to replace all <br />poblic properry domaged thcreby. <br />?ay--•� 5` , <br />Inspeclor's�Signalure <br />;'/%/j I <br />Dale ' <br />• <br />.'� <br />�: y�= <br />evere� <br />A roved By <br />Q� �Qr;l 1�t:o9 <br />Date Approved <br />_ e <br />�'ariance Required <br />Yes..... .....____. ...... <br />No.. . . .. . _... . _.. _.. . <br />� .3��a ���w_�.� <br />Address <br />�;�� 5 C ��� <br />ielaphone Number <br />� - � -- �. s <br />Dafe <br />$ — /.�-� 7 � t. <br />Fee <br />DEPT. APPROVALS <br />Engincers <br />Waler /` ���"'� <br />Skect <br />