Laserfiche WebLink
EVERETT, WASH. Approved By <br /> V � ri � �) � � �i �- I j �-' i ��% �\ L' :.' iLif-3c;�'��/��� <br /> � <br /> The Undersigned �-. • �_ i L � F (%,'= �i:�!= /�. S. T ('p�1J5T. Date Approved <br /> Hei � applies for permission to ��/-��r � %� ���✓ <br /> At the following location `�yD/ ' T�/ONPSo,fJ A!J� , <br /> SKETCH - <br /> IWork tc be donel <br /> '� H�MSoN �; `✓� . <br /> -, -- --. <br /> ---._ <br /> � �� - <br /> ; <br /> �8• <br /> i I; <br /> � <br /> � <br /> ��. <br /> a�� � <br /> I 7 �_� I <br /> I � ' -- � � � � �---- <br /> �, . <br /> � �., ;,, <br /> � <br /> � � i <br /> � _,� � <br /> , <br /> I <br /> i I�i <br /> The undersigned owner hert4y agrees to hold ond save harmless Ihc City of Variance Required <br /> Everelf from any and all daims (or damoges thol moy arise because of Ihe Yes._.. <br /> inslallalian and maimenance ol the imp�ovemenl herelo applied for and No _. <br /> fur�her agrees �o remove same upon noYce from �he Ciiy and to replace all ��� �-������ � -� <br /> public prope�ty domoged thereby. <br /> - -- -- — �i� (i <br /> � Signolure ol Applicanl�. <br /> L, <br /> i � �� �� <br /> •t+�ri} Address <br /> ] I �; r <br /> .�.. _ .�c- . <br /> Telephone Number <br /> Dale <br /> � 9 °� � <br /> Inspecfor's Signalure ��� <br /> S1TLz C-s/CC•E'_FO 9/> /' Fee <br /> Date <br /> DEPT. APPROVAL,S <br /> Remorkz �,���� � <br /> Enginecrs �� ��- 7/ <br /> Walcr i�-�� T cL' 9— 13— 7/ <br /> � <br /> -------_—__,.._.�.-- <br /> Sfrcet <br /> Communicafjon: �,'+ /%`�� ,'NY�%'� <br /> Traf(ic �� '�- �� <br /> Planning <br /> i -`------�— --_._.__ .-_. <br /> - P::�.'`✓i�:�c fOf� � <br /> Cail Engineering DepL 259•B6A� � ' Nn7E � � �- � � �i;��PE: [?RliliJi�GE <br /> 24 Hnurs before i ��1 <br /> consfruction is started, CHECK WITH WA7ER _ �+ _ �I <br /> D::f'Z FOR WATER LINE <br /> � . �-`)CATIONS BEfpRE EXCAVA710N <br />