Laserfiche WebLink
Pe�mit No...! . �...�..�.� <br />APPLICATION FOR DRIVEWAY PERMIT <br />everett <br />CIT�' ENGINEERS j,, � f���,r�,i <br />,�-v � , <br />EVERETT, WASH. ~ Approved By � <br />J_ '._ 'i'� <br />J i � � lr'�� 4.��� �'.=�'"'� Date Approvcd <br />The Undersigned_�'� <br />/ � li5�_ � '" .� <br />Hereby applies for permission lo r`��-�S � t2 • ;� G3 �-�-� � f�.. r'.� ���., � L� l-�'� <br />� <br />At the following location !�- %� j v� �� — <br />SKETCH <br />IWork to be don� 1 <br />Y � W �T;� <br />The undersigned owncr hereby agrees �o hold and sove harm!^ss ihe Cily of <br />Evcrell from any and all daims 4or damages Ihot may arisc becouse of Ihc <br />imtalln!ion and moinlenance ol Ihe improvemeN hcrefo opplicd lor ond <br />furlher agrees to remove same upon nolice from Ihe Cil� and lu repl�ce oll <br />public properly domaged Ihereby. <br />DRIVEWAY SECTION <br />NO SCA�E <br />I�-- 2 � � <br />I <br />��I" LIP <br />30" � _�30" <br />/ / � <br />l.c�M� �(i ✓ C> - 5� ;'v' f ::. /� ; � <l,,r // ,;.,. � �-• .- <br />Inspecfor's Signofurc �� �j <br />o.cc�qi,:%��- � s <br />/ i / . <br />Gafe ----- -- -- — <br />RemorAs <br />Varionce Required <br />Yes. ... . . _. .. . . . _. <br />No <br />_ -1�U/� `�_.^/��`� <br />- <br />' L� f _ / <br />Signolure ol Applimnf , <br />'.::_ . /��'c. � / ; >,� 1 /����' <br />� � �� _- Addreu7�- , _- . <br />- �/ - �/ ( i <- <br />�Telephone Number � <br />� ' /U� — % c�. <br />-- Dafe �r�.(}//� !�� <br />E ��. �L.� ��/?. <br />� -- . - <br />' Fec <br />_ . _ �. - -7 �� <br />DEPT. APPROVALS <br />Enginecrs �t' _ ' � <br />\Valcr _ <br />.� $Irect � � . n ��.� ,._. ... /... . <br />ti , — <br />Communimlions_�_ � <br />