Laserfiche WebLink
4 <br /> EYERETT, WASH. Approved By <br /> D I / �u���; z� . /s�71 <br /> The Undersigned '\C'L4 UiA �r( �P N P (] I1 5 I �n tM ( 1 in �n N ��'l u 6'� � Date Approved <br /> � ��� T-- <br /> � ! <br /> Hereby applies for permission to_ �fl �n � „ h c� :���_� <br /> At the following location— �] / � IC�lin ;="�- .�� Y�U t� <br /> SKETCH I I <br /> I�N�rk to be donel <br /> I \�� <br /> � <br /> ���. <br /> O�\ I \ <br /> � � <br /> \ <br /> \� ^ro� \ �„_ �0 <br /> \, .; � <br /> /p<�`' � <br /> . \ � .N1'1`b �N?' c� \ t � <br /> � / <br /> ��\ 3�:' . \ l.iq <br /> / \ `- �; <br /> \ / <br /> � / <br /> \ � <br /> � � ��� �/ <br /> �� J <br /> S � <br /> � <br /> �, <br /> i �� <br /> I Q \ <br /> \ L . <br /> 1 /.� � � ' . � \ <br /> ��� � � <br /> � <br /> The undersigned owner hereby agrees to hold and save harmless the Cily of Varionce Required <br /> Evercff from any and all c!aims for damages thal may arise because of the Yes... . <br /> _.._..._.._ ...... <br /> installation and maintenance of }he improvement hereto applicd for and <br /> further agrees ro remove same upon notice irom Ihe City and to replace all NO����-��--���� ��----�-�-���� <br /> public properfy damaged thereby. <br /> ----.--------- . - - _. _ _ _ , . <br /> .1�CEwAY.-_-5[CTION � - . '1 . � <br /> (NV`_SCALE) � L_ ,._ , <br /> �- - - c�.-/_=�. �__� �_�__. <br /> � $ignalure oI Appliranf <br /> , <br /> �.- ',,.�,� '� ' � � / ��� � �l) ni-�.r� �l <br /> -ao,.1 __..___..____.� �� <br /> i _ 1� _ ^_'—^}� Address <br /> •.'}"-. __._. —_T� <br /> . Y� .r ['S r/ _ "�'�_' <br /> ! ielephone Number <br /> __�. .__------------ <br /> 1 <br /> ______._..__.. ear� <br /> f _..,� i <br /> InspeUor's Signaturo E ��,J O PQI c1 i�/2� <br /> �,. <br /> s>T�' CN�'/.�.� -/7 7' +— I/ � Fee <br /> Dafe c. � D/(�) <br /> DEPT. APPROVALS <br /> Remarks Engincc�4� � '' � � � �Y/ <br /> Wo1er � � V� , <br /> StrcM � '�" � �� _ <br /> , "'. �' �'�� <br /> Co�nmunicalions � " • � <br /> TraHic �''� .r',". . 7- �. `5�` . <br /> Plannin�Q� G 7- V-7/ <br /> Caii Engineerin3 DepL 259•8803 _ <br /> 24 Hnurs 6efore � �ROVIDE FOR • R,�,r� <br /> cc;,;truction is started. � PROPER DRAINAGE c��r;�i� W�TH t^ra r! iz <br /> DEPI'. FCR l,P �; I i ;`- <br /> � � �.^,l�il� r.:�; , ..�, . <br /> _ . _.'_ _ ._.. . , .., ..,, __ ,,..__ ... ,. . . �\'qTl'.) . <br />