Laserfiche WebLink
- _� .- - - -- <br /> EVERETT, WASH. � Apv����.� br <br /> /;�f;�� �7 -�7,1 <br /> The Undersigned ' ` ` � �_= -� �' ' '� _ _ _ __ Da�e nppro��d <br /> Hereby applies for permission to '" - . '' � ' f %!F'� - <br /> At the foiiowing localion ='i �%`�-- ����' F,�h/ �✓�- <br /> SKETCH <br /> IWork to be donel ' °'`'' �'� <br /> � _ <br /> d <br /> �— -- <br /> Y � ��� t.(•�'� ! _ _'— N <br /> i <br /> I <br /> i <br /> � <br /> _. _. - � �/A`Ji_. iiM1-. ---- -- � �i <br /> � i <br /> j � II <br /> L� <br /> Q � <br /> i <br /> I <br /> i <br /> � � <br /> d <br /> I�. �P.IL „ � cL�'✓U- <br /> The undersigned owner hereby agreez lo hold and sove harmless Ihe Cily of Vurioncc Required <br /> EvereR irom any and all doims for damages thot may arise 6emi•sc of Ihc Yes . . _ . .. . . ... <br /> installalion and maintenance of fhe improvemenl hereto applied (or ond . , ,� No. .. <br /> _ .............. <br /> further agrees �o remeve same upon notice from Ihe Ciiy and ro reploce oll ��)�; ;. � - <br /> public properly damaged thcreby. '" <br /> / �^�' � ��/ <br /> � � f C� 1�7��� C. 0 /N-P '� <br /> //-f" <br /> US31VF:\JAY 5EC710N-.-- „ <%);_� L��//1l�: �'Z � � /�� �/� o <br /> ,'7d�Z«' ! U CZv-�--� <br /> `�y� ,. ) ��'� Signature o/ Appliconf <br /> �'_..-- �-- -' __..�_.__._,�._._.._.. . ` <br /> ' ,a' Dseive�.:r.r �eeriql�l�• �''� t'✓� �� <br /> ��c�� (, -�c 1' !�" C/� G rf� <br /> .�.__. ._-� � . � .- �..-___---- �-- �":D SCAt_� �N�s.�C. . " Address <br /> ' �.�_...:,_ ;�. .._.__ ._.. .-- i�— , • �-� <br /> .. � . -----_. <br /> � ��_��_...� . ��- �� l �� ,r- s <br /> � i,t'. ,�- ' � J Telephone Nwnber <br /> w.A,. �JO <br /> _� i.. .... __... ..._._ ....._ <br /> �� ���Oa�G j-....\. �� . .._�_-._�._'^� _ <br /> (; Dafe <br /> InspeUois Signofure � $ j��. � �. .-�,t�, �� <br /> ( J. <br /> l___ ____�.___�.__'—"-.�_..--._—�'--'.»'--.` � , 1 <br /> .5/TG L�.�f,EC/C�!� �_/7_ � fee <br /> Date <br /> CEPT. APP20'lAI.S <br /> ��r7i d2. W'/-F CO�(/.ST/f'c'�i /__� � 1.' i!r. s�•' �i i.:. � l� • / / <br /> Remarks Y -- �/!�� ���� ! ��Ji�7% <br /> E n g i n e e�;'1_�.L��SS"cLd'_,,.Z1'� <br /> � .�. Waler /r.,. _,._� - 1L_— <br /> /�'�/�..�� �/���iCC'/� Strect L— � <br /> Communi,ation�i-i^' �- "•.' .. V'is. . �- r.. <br /> Tre!lic=-r� � -- ' <br /> Planaino �� <br /> . ,_ : .___. _- .. . _ __ _�___I <br /> �,�li Cngineencr U;��.I � _, .�. �';)`JI�E FOR <br /> 14 Haurs befoie ri=Ui�E4 DRAffJAGL � � ' � <br /> � �nslruction is started. I , <br /> � � � , <br /> � <br />