Laserfiche WebLink
CITY ENGINEERS 'J� � i ,� <br /> EVERETT, WASH, proved ey <br /> B P,�r�l l�t(oR <br /> � .� i. . . '` DaleApprovcd <br /> The Undersigned /'� _ • � <br /> . �. / � <br /> Hereby applies for permission to � �' � +� f� � <br /> � - <br /> At the following location y.:i '� — r"l "�' ' � ,� ''— f" ,�`; <br /> .` <br /> � f` . . . <br /> SKETCH <br /> (Work to be donel i <br /> tti i � <br /> Q � _ � <br /> � <br /> � <br /> � I I <br /> � / i . <br /> �I `"-'� ! 'z , <br /> � / � <br /> i ' __ <br /> � , rn <br /> � � � � ��� � <br /> j� 'r -r I � �1'� <br /> � I --. I � <br /> V <br /> �` I___ � <br /> �� J ` I <br /> 7 �' �_._., <br /> f .-� , <br /> r' I � � <br /> h�/ V"_F,=_ . . ���.- . , , - � -'-- <br /> The undersigned owner hereby agrees to hold and savc harmless the City of �arionce Required <br /> EvereM from any ond ull claims for damages tnaf may arise because of fhe Yes_ .. .. ... .. _.__.. <br /> insmllaticn and maintenc ce of the improvement herelo applied for and No ._ . _.._._... <br /> lurlher agree; to remove samc upon noticc from thc City and ro replace all � <br /> public property damaged Ihereby. <br /> �, : , � ; 1 <br /> ; ; �_ �� ::� �,� r?:. ,���. <br /> , <br /> Signalure ol Applicanf ` <br /> G'T i✓� �% �,�: <br /> Address <br /> iclephone Number <br /> �(-J � Dafe <br /> �'/. . f��:l .Y �e,.--.t> .�� <br /> Inspetfoi s��gnafure � _ a <br /> / / Fee <br /> i� 3 �,� <br /> Dale <br /> DEPT. APPROVALS <br /> Remarks Engineers — <br /> Waler� 1M�� — <br /> Street <br /> Communiwtions�_I..a` 1�; ;,.0 <br /> Traffic <br /> _ Planning <br />