Laserfiche WebLink
��� <br />..� . � <br />No scF��.�. <br />;,_F-,t.,- � - F•,•�rt:r;.. <br />V����.:�HOUSE- OiJLY <br />iz32 <br />f� <br />SEG PAKKIN � <br />A�TAcNEv <br />9y' <br />p�znir+ wFlTE2 <br />' za� <br />_______�—_�.__ �\ \ .._ . ------- - – <br />� � �� <br />1�: �:��� r;� �� � <br />(v o 2'f'o r� �-�v E . <br />The undcrsigned owncn c�reby ac�rces to hold and savc harmless the City of <br />Everett from any and all claims for damages that may arise becausr of the <br />installation and maintenence of tiic improvement herefo applied for and <br />further agrees to remove same upon notice from the City and fo replace all <br />public property damaged thereby. <br />-�` / /4� c <br />�" t C (� � ��1 (/YL <br />Inspecfor's Signalure <br />Dafe <br />L�O!R �C <br />cro� ��e y" <br />C(Y/G'E'cc'a�q � <br />� 1� l � � <br />��•�� <br />1f. l <br />��3�� ;.II��iIICO�i{l� �.'.�1L I����D�U' . ��{lY� <br />?4 Hours before ��< Wt7F{ �`;n��`�` <br />� t:uteA. � ��i� v;Ai��: LINE <br />;"nt.l��u-I�r�" � s ;,��VNSE3EFOREEXCAVAfWIV <br />.� <br />[ _C� �7 <br />�� �A��ti�� <br />�h %' <br />Variancc Required <br />Ycs............................ <br />No..._____...... _... <br />Ce_. �.�.��L,;_,klct�..��1��� � <br />Signalurc ol Applicanl <br />.n� `] i,�� . LVv��c�: DS L.' - <br />lu5�u_�3�_ <br />Address <br />i 7'� - ?_7 i �� <br />7elephone Num6er <br />�G� - !o - 7� <br />Dale <br />$ X(u. .JC� N�-� -- <br />Fce <br />DEPT. APPROVAlS <br />Engineer <br />'�Waler �� '-_ —.— <br />Strecl <br />Communications � �6 � �'z � i <br />Traffic ��� �-i� r:. - • .--�..7; <br />Plannino � �' ��� <br />- �-� ----'-"._ <br />� i'n[;A'tU� i-Ji� �', <br />; ;cU,=ER ORA(.+AGE i <br />I--""'_` <br />------- <br />