Laserfiche WebLink
___ /� <br />y .i' r V <br />Permit No. .... _....._...._. .. <br />APPiICATION FOR DRIVEWAY PERMIT <br />,< . <br />(�� �' �'�; <br />C.ITY E�GINEERS <br />I:VERETT, WASH. <br />The Unc�ersigned_� �� �— �' <br />Hereby applies for permission to �%� <br />, ; <br />" �. r <br />�.//. /��->1, ' : ,-.�`o. �.��c �:�� �F', : :> � <br />4t the fullowing locatior %`�=i —,[_��h i'�y �.�,! <br />.. . .. -:va,.:, .. <br />SKE7'CH <br />IWork to be donel �--______ <br />r¢ <br />�v� <br />( � , <br />�j !�� � � l <br />A�p oved By <br />��_l ( , 1 � ��t <br />Dalc Approved <br />�Rovin� ror <br />PRO?[R f?R'.I;�!`.^(' <br />_.,-_._. _ _ _ . .� <br />" N/�a��r � �. <br />y����G._ `. . '- . <br />� <br />.._ - - — _----_ _.--�_ _-- — <br />—� �� �-'--- /8 ' �'D �V c= . <br />, <br />�t. rf� P�.,a C E- <br />Thc undersigned owncr hercby agrecs lo hold and savc harmless Ihe City oi <br />Evcrett (rom ony and all daims for domages Ihol may arisc becouse of Ihc <br />installation onJ mainlenance of ihe improvemcnt hcreto opplied for and <br />furiher agrees to remove sanr upon notice irom ihe Cily and b reploce all <br />public properly damaged Ihcreby. <br />Variance Required <br />Yrs . . .. _ . _. <br />No <br />.. __ ' � � �; . . , <br />,, „r <br />. Signalare of Applimnf % <br />.�,) . <br />:��; 4; ..�� � �' .��: <br />Address <br />.� � <br />% - r . •! <br />`Telephone N� n6er <br />, <br />�� Dalr_ <br />