Laserfiche WebLink
Permif No::.- -:.......-:.:.....:--- <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned " "`� r' I �- <br />APPLICATION FOR DRIVEWAY PERMIT <br />�J <br />Hereby applies for permission fo ` " �'�' ' �' � '� '' <br />,- <br />everett <br />%����� _ <br />� -� Approved By <br />�F'R/� � %�%%% <br />Date Approved <br />At the following bcalion � —'� � ��C T�"� � � �vf <br />SKETCH �} V F <br />IWork to be donel f✓ %� '%- � "'� <br />,--�o- <br />-� , , <br />�, <br />The undersigned owner hereby ogrees to hold and zave harm�ess the Cily of <br />Everett from any and all claims for damages thal may arise because of the <br />installalion and mainlenance of the improvement here�o applied for and <br />{urther agrees lo remove same upon no�ice from the City and to replace �II <br />public property damaged Ihereby. <br />/.F_l�hY - . SECI70N <br />cf�n �.�a��� <br />, " '� � i . .. . __.. . ..._ - �Q �- <br />(' � 4.._.__ '._.{. _'a —��I <br />; '' <br />� <br />Inspeclor's Signalure <br />�. , � <br />. SIT� �.HcGti�i, ] "�//�, i 7/ <br />Dale <br />� <br />,�. .�L� -r_y <br />r <br />3G..:� <br />nGl1'E\JAY 5[CTlON.: <br />!� �' --- _ _ �i <br />; . . . . . _ .. . ._ . . __. r �� <br />.__.._ ��' . . _ <br />� ._ _. . . . . . '_ . "� � p/fi S <br />� '_:.{ ...... . -._.. � —...� i <br />! <br />C__.__...-._- � ( :,; :l ..�..c n �'- �_ <br />�' <br />� <br />� <br />c� <br />Variance Required � <br />Yes_. _.. . _ _. _. . _..._.. <br />No____..__. _.._..... <br />; -�� iri._ �Ci�r�GG-l'GL/-����lf/_-� <br />Signalure of Applica 1 � <br />� :iU (,,,��C�.il/�(S'��-- %%L'� <br />Address <br />'li _ � � 1� . � C�' i �-- <br />ielephone Number <br />' �ir�I2�;a 3'F�. 15'7i <br />Dafe <br />b_s--^c'� + ; , <br />a?_c �' <br />Fce <br />DEPT. APPROVALS <br />.L /.,),/ �j <br />Enginecr�� : r7 ��t/I!/�,. : {7 /E�� /7�. <br />�Nolcr \� � r•_, ._ . .... � S . �i - ��/ <br />Streer <br />C' � <br />r? <br />Ccrunun:�olionz T.� %c��: - <br />