Laserfiche WebLink
--,;- <br />_r , <br />Permif IJo.... � _...._-` .�`- <br />CITY ENGINEERS <br />EVERETf. WASH. <br />APPLICATION FOR DRIVElNAY PERMIT <br />everett <br />Approved By <br />The UnderSigned �, �`�' �� � L��'J�' � Y Dale Approved <br />Hereby applies for permission lo C'� �'� ��Ur' � �' �" /�'a�^���E l L �/4{/ <br />At the following bcalion—j.� G`'� <br />SKETCH <br />(Work to be donel <br />NE, <br />NEW <br />c ur',[?.F AVE <br />�c�A �J _ __f�J�" - -- <br />/ <br />The undersigned owner I�reby ogrces to hold anrl save harmless Ihc City of <br />Evereft Irom nny and all doims for damages ih:,r moy arise because o( Ihc <br />inslolialion and maintenonce o! thc improvcr..ent hereto applied (or and <br />further agrees to remove some upon notice Irom the City and to replace all <br />public property damaged Ihereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />�___ G 5 � -__� <br />I' LIP <br />�-30 .�. '� �� -- ---_��� <br />F.. � <br />Inspecior's Sipnature <br />�ar� <br />Va��ancc Required <br />Yes ...__ __. ...__. <br />No.__ _...... __.._ ... <br />�, . l,U� �l�`� 4 �.�✓,,_ r !��-1 <br />� „ ' Signolure o( Applicanf <br />�� <br />��"�'i�—����-eA�x�ti,� ��� <br />Addrezs <br />< � �3 3 <� s� �i <br />�ielepho e Nomber � <br />�j � � � � � I �'� ----- <br />� Dafe <br />S /�., � 1J::''' <br />Fee <br />.�� =� lji,�:��� <br />;�, , �/ <br />DEPT. APPROVALS <br />Remarks Engineers <br />Waler � -� ll- ZI' %L� <br />--- — — ?: Slreel -Y, i. ..L•. �� - <br />- ' ' � . ___.., <br />Comm�r���i�olions_�_�__ �_ <br />