5504 ROCKEFELLER AVE 2016-01-01 MF Import

UT5 HJ��II iEc�_. EVERETT WASH. Approved By .5� � S- �� The Undersigned �^'� �--`-- � C• "� �— � t`� _ Datc Approved Hereby applies for permission to � � � � � �'` 2 �- I i � � n I ' '7 = ' ` ` � `'- � ` �'' � ` � i At the following location � 5 h '�' �= '"' ;—'--' - �"—'—`� ' = -�,\1 ` ' ;KETCH !Work to he donel .. _ _' _ ___-__'I ,rD � __— f . _ �� i �oY / S 550¢ em��.�._- t.l �, ,, c r�, i_c= � �IJ / _- _ - __/ . . — _ _ _- ��—_ �. _, —' �� -_• ��_ _ �\ il i� {'' y - _ _' -_ - __ _ _ _ --��LL_ER AV� The undersigned owncr hereby ogrees to hold and sovc harmless Ihe Cily of Everet� from any and all doims for domages Ihat may orise becausc of Ihc installalion cnd maintenonce of the improvement hcrclo oppiicd (or und lurther agrecs b remove same upon nolicc from ihe City and to rcplacc all public property damaged Ihereby. DRIVEWAY SECTION NO SCALE� �-- i � � �— I" LIP i 30' � �� 30' �� I � l ("_rn 4L' 7' 2 z � �'/ ,�. _i �� ...� Inspeclor s $ignalure � ,/i�cl C/✓Y��''Y.�ti_•�9 ,l,�C Dale . I' � il!',liiccflili; U�;i,. �_,. .�.I 24 Hccr� 1:�,'��_ [:�nstuction is started. . � . �.'IL'L , . � � :;OPER D��, . � I 'fDGC �,r — � _%1 Y _� ! i-- — — Variance Required Yes No � ; <<�. c' �?'��'----- — Signafurn ol Applimnl 6. o. b3_� a, � s� �.� .«tC, Address 3 �1 - 3 �-S�r Telephone Number A �� /T��" � 6� Dafe $ � � q .� D�� t�� ^%' � �/' l / i2=� �� ` �� }-� �c_ Fee �} - I l, - 14- D[PT. APPROVALS n /' � p _ Enginccr , k' �'�`O� � / �- . � Waler �T�`� - Slrcet " Commumcaho "-� imffic_ - ' �-�-�y�� y� C , �/1 ,/ �y . « ,�... Plannin � � / - � - ❑rar Fn;