Laserfiche WebLink
0 <br />EVERETf, WASH. <br />The <br />Hereby applies for permission <br />- -- � A'pp�oveJ-By--- -- <br />` ,�^�}, :Z.b l � lvcl <br />;. <br />- Dale Approved <br />At the following location <br />li'�%�',Ci v� ,-�' c/��i'G%�. S�s �c.��'c�I� 1�/. <br />SKETCH <br />IWork to be donel <br />� �G�� <br />�C L -`!- ^ � � <br />i <br />�l//U�.'�TED <br />I� � <br />W <br />The undersigned owncr hereby agrees lo hold and sove harmless Ihe City of <br />Everell from any and all claims lor damoges that may arise becouse of ihe <br />installation and mainlenonce of ihe improvement hereto applied for and <br />(urther agrees to remove some upon nofice (rom the City and to replace all <br />public properiy damoged thereby. <br />%' r— '� 7 // <br />�_-.-�T"7 ' � �.r---cc.+��G-.- � <br />Inspedor'i5$ignofure � <br />i <br />7 ,_ ` j �, n <br />DatE <br />E <br />I <br />�'_:�•1;�%T� ..S 'N/GL/ c=.i�-�r/N L//� <br />fi1�J/`/ /�r, ` C✓/i''N �75'.�'l_�,/�:. <br />�• <br />� <br />�u ��;r��, DF .DO:t/N SLaPE <br />�� Y,� <br />:� <br />r< <br />ri • <br />Varianca Required <br />Yes. _. _.__. ....... <br />No.. . _.._ _.. _. <br />$ignolure al Applicant <br />Address <br />ielephone Number <br />Dale <br />� <br />Fee <br />DEPT. APPROVA/LS <br />Engine � �-"-' <br />Walcr � � <br />Streef � � �ti� <br />Communimtio ' � ' <br />iraffic_-,�� � J • <br />�MG <br />�%��L. <br />