|
�'� �' � /J �"
<br />P���,a r!o. .. . .. ' "�' �� -"'`_ �
<br />,
<br />r..:................ -
<br />APPLICATIQN FOR �RIVEWAY PFRMIT
<br />everett
<br />CITY ENGINEERS ':;d ����Y
<br />FVERETT, WASH. Approved By
<br />c��I�l%(J/��'-' �% ��f,!�"
<br />The Undersigned �L�'+i �-�= , - � . � . � ? " r i "=_ ' , Daie Approved
<br />Herebyappliesforpermissionto ���►`»TX� � ��I ���4—� D��l���``�i�=,�
<br />At the fol!owing location
<br />� � �'� � --3 �v`r'-�' ST"
<br />SKETCH —I`�—
<br />IWork to be donel j��� 5GA L6
<br />� X I� T• V� i'l IZ'c �.1,,�,s, s (; f?, t:
<br />'; 2 � 7_
<br />-a�l— E X� s'f � D oo t•���.� R`1 s—�-
<br />. �i. �,-; i , . . _ � .� . , . -i ��rs
<br />---.--' '� . l � . . � iv 7 �, ._,�t.
<br />N.vV �?ti�l�t���
<br />N�w
<br />DoortWAyS —r--
<br />Thc undcrsigned owner hereby agrees lo hold and savc harmless Ihc City of
<br />Evercl� from any and all daimz for damages that may arise becausc of thc
<br />installotion and main�enance of thc improvemenl herclo opplicd for and
<br />(urther agrees to remove same upon nolicc (rom Ihc City and lo replacc all
<br />public properly damaged thcreby.
<br />DRIVEWAY SECTION
<br />NO SCALE
<br />�-- 1,r � ---�i
<br />I" LIP /
<br />30" _�30��
<br />. , , . ,�, •� � � _ _' `� /"�,�c,, ��,`�`�
<br />Inspedor's � Signalure
<br />. `� ��,—/: �if�.G'�CfL.=�% �'��//�3
<br />Dafe
<br />c�A� �cJ�_ J%i/� � -
<br />�
<br />��/ �� .
<br />__�._ _
<br />NEw q,c;, pAu'T
<br />I�Vr
<br />Variancc Required /
<br />Yes �� . ....
<br />No
<br />�
<br />�
<br />., � - �
<br />�< _ , . �_%.�_ I
<br />' � , �
<br />Sigrifilure of AppLmnl �
<br />,.
<br />_,'c_,�,.r' r,�_�,<,,�,''-� ..
<br />Address !� -'-':
<br />�' - �" �
<br />ielephone Number
<br />�' i - .t /ii� - % :
<br />DaM ?.; ���
<br />S 97. S�� fj-:s%
<br />G� j' . ��Gc.. � -�' .,;,�;Y �, '� '-_
<br />�� � Fce
<br />,.- ,, _.. - r'J
<br />DEPT. APPROV LS
<br />y��� �
<br />Engineeh � �'�" �� � - � �/G - ��
<br />� � Water ,.. . �" , . �i; ' < =
<br />/� Slrect^ ;lc�_L. �a5..,«.:/..., .� -
<br />�, ;�"
<br />Communicalicns T.«--;.-
<br />
|