Laserfiche WebLink
� <br />� <br />� <br />F <br />� <br />M <br />Permit No. ../ ...�. '`J <br />.._.J..� � <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, Wi,SH. <br />everett <br />✓ � i ;; ` <br />, �� <br />� � Approved By <br />� <br />��c'Ol �— .j ���/ � <br />The Undersigned �� � P1Z-�G�TC'� Date Approvcd' <br />�ot�ST� � _ �^.`�� '�)'`:`� �J, ,.- ��—j\V'CV��AV � <br />Hereby applies for permission to_ r <br />At the following location � g �� � U G IL'E '—' ��%� <br />SKETCH A L LE / <br />IWork to be donel <br />Evcrett from any and oll claims for damnges Ihot may aiisc becausc of Ihc <br />inslallation and mainlenoncc of Ihe improvement hercto applicd for and <br />further agrees ;o remove samc upon nolice irom ihc Cily and to replace all <br />public properly damoged thereby. <br />DRIVEWAY SECTION <br />NO SCALE � <br />�--_� "�y,�-�I <br />I" LIP <br />30" _ � _ 30" <br />/ ��r . ��� ;.� ' 7 �% rCG✓ri ��pZl <br />Impec o� s gnofure <br />� � '� <br />�_. .�% % %�t �f�//C/-«� iC. •�c/ -%� <br />Dafe <br />Remarks <br />_ // / i / � <br />Ycs . . ... _. . . _ ... <br />No_ . .. . . . ... <br />+,j;; �. � / <br />._. i`� L. c.L41..." �I . �--n_-',;rlt-; .C�-. <br />Signofure of Applimnt � <br />V.VNf 1"�dt � <br />:��'.;i C.. .. �,-C� •.�/:.,../� <br />ddiess / <br />G'~�- /�S i <br />Telephone Number <br />Dale �:�� ; /J <br />� /- l ' _ .-.�/ , <br />f i� �-=�.�.- %;,.-- <br />1�C� � i� �./ �/lrG Fee „ <br />:/�� -/%._%f' <br />DEqT., APPROVALS <br />��i/ � !�,-, <br />En IneelT � 7�7�}�� ��- 'L� � —�-'� �� <br />WOI¢l �^!�//L-<"'1—`. / <br />< Strcet .}_„ :. / - -..•.`. <br />Ce.�����nimrions. _--�--_��--_ - — .---- <br />