Laserfiche WebLink
� i �✓ <br />P�:rmit No. .. . G - 'y ` ` <br />. . _. ..'............ l <br />APPLiCATION FOFt Df:I�EWAY PERMIT <br />everett <br />, ; _. % <br />GTY ER�GINEERS - i%� P`:r�/� /`` <br />EVERETT, WASH. � Approved By <br />�' l//n: � /� ��%�,� <br />The Undersigned �� �� � N� � L� k�� �` Do�e Approved <br />- -� ., ... _ � ... �.. <br />Hereby applies for permission <br />At the following location <br />30/0— 5i r�l 5 u! <br />SKETCh1' <br />IWorl�ct be done) <br />m <br />� <br />� <br />51�T <br />� 2� <br />PL. <br />i <br />S � 7 <br />� ---_ <br />----____ ---�- -----._..------- <br />---_._ <br />The undersigned owner hereby agrees to hold and savr, harmless ihe City of <br />Everet� irom any and all claims for damages thal may arise because cf ihe <br />installalion and maintenance of 1'�e improvemenl hereto applied for and <br />fv Iher agrees fo reniove same upon notice (rom Ihe Cily and lo replace all <br />public properly damaged thereby. <br />, ��� � <br />� f,�l,�� ����� � . % � <br />I�I � <br />�, g- �' � ��,,�� <br />In;pedor's Signature <br />� �T�- � ffC�.rG�� E'�� %', <br />�are <br />Rem.arks <br />1 ., f. , i <br />:.� . <br />`O/VC 'ri�e-. T.0 : <br />G�URt3 <br />S. <br />Variance Required <br />Yes.._. __._..__....... <br />No..______....._...... <br />�N . <br />"�� / L'� �-1 <br />/:� !l � �.� <br />� �ignalure o( Applimnl <br />� �/ -- �%�7•,rd�_`� �-ci= <br />/ Address <br />' �--�J�y�iG�Y•-c-:�� <br />� <br />ielephone Number <br />, �`l3 -y`� 1,�y <br />�PPt� �'� 7�-- <br />� <br />s /p"—� �' ��. , <br />Fee <br />DEPT. APPROVALS <br />��i � <br />r: / ; � <br />Enginccrs � ��f" _„ r ��/�j'� <br />Water-���._—�-= • — <br />Streel �- — """"'"` _ .. <br />Commonications 7r�.. . ,�1+t�� _ • •�^.�'r ,_ ,��;_ . <br />