Laserfiche WebLink
QTY ENGINEERS <br />EVERETT, WASH. <br />By <br />�-� �rch '�.'"l 4 \ S `l [1 <br />� , i . � � � -' �`� ,i : Dale Approved <br />The Undenignec��' � ���' �f �-'"�' �� -" - � <br />Hereby opplies for permission to � � �`-� S r � � � � � � � � L d � � l "' ' � =" °" G.^� . _ % G . S ' :!= �' S <br />' �.l� 'vr'.1, !. �! -6�`rV //.JE _ <br />At the following location— J 3 �� �' �(JC /1L:-/C� �l��T"" <br />The undersigned owner hereby agreec lo hold and sovc hormless the Cily of <br />Everetf from any and all claims for damages that may arise because af the <br />installation and mainlenance of fhe improvement hereto applied for and <br />(urlher agrees lo remove some upan notice Irom the City ond to replace all <br />public proper�y damaged Ihereby. <br />, <br />.�� li ^ lv� = � �� `; , � � ),� �) � i I�n �rP ii� Ui <br />= a�, ' ^ � . .,. <br />I <br />� ;., <br />t .� -��; �, ti , .>>,'; ,a:.•J <br />Inzpeclor's Sig.iafure <br />.5'/T/� �/�L�".if���%�'%G� <br />Dale <br />Remarks <br />�_. <br />Variance Required <br />Ycs ._..._._... _._. <br />No. ..__._.....__.... <br />=, Hi.fG�( <br />�� s�- "7 =�^L�A/�i /i �C <br />r; J�I�� . <br />P�+ � , <br />�' ��/i��l�.. C� , �%f�.G+-� �`� .� <br />$ignalure of Ap/licanf <br />�5��' �� �i'� � hr:�_ <br />Address <br />�>'" 5`- �; `/ 3 <br />iclephone Number <br />.i..9 /Yr /�5�� � `%„7c1 <br />Dale <br />� <br />Fce <br />DEPT. APPROV�LS <br />EnQineer <br />--�` f /.Z7�7C� <br />Waler � ' � <br />.� - - � � ., �..- <br />Strccl .... ,- . . �.. - <br />Communiml,i� ns � ��' ��� �- <br />Traf(ic �"y�� . <br />Planning ����'� <br />