Laserfiche WebLink
EVERcTT, WASH. <br />--'�--'-�Approved By — — _ -_. <br />e /!l//.= � 7 ��L� <br />_ Dale Approved <br />The Undersic�ned Fl t� E �' 1�)� � r^��'_' — <br />, <br />Hereby applies for permission to ��'�/� "� �' z'} -' �-'J <br />At the following lowtion � �^ � �o ' -`' J =T Y. `. I' `•'J' <br />OSKETCH <br />�!Work to b: done; <br />� <br />� <br />z <br />D <br />< <br />t� <br />j I sT <br />j� L , <br />The undersigned owner hereby agrees to hold and save harmlesz the City of <br />Everett irom any and all claims for damoges that may arise because of the <br />inslallalion and maintenance of the improvemenf heielo aoplied for and <br />further agrees to remove came upon notice from the City and lo replace al! <br />pu6lic properly damaged fhereby. <br />� L�G , <br />'� . <br />,���� -,� <br />��L��`� 4' <br />,� � , ,� <br />Cl� 'J <br />Inspector's Signafure <br />� ti iTis' Lii'i�.�,',4'.ri/% E'/=�/7�� <br />Dule <br />i., _ _ ___'_ ' -.�_._ i <br />� '_ " ' <br />I ._.. .:n' . <br />. .. ,. � . ._ . i <br />�--------___________ � <br />�.,�� p <br />j _f '✓ <br />S . Y'/ . <br />Variance Required <br />Yes..__ _._.._... <br />No_.__..._.__.____.. <br />/ <br />�� %. G� J���� , . <br />$ignalure oF Applicanf <br />�soi-/�� ��l �. <br />d �Z92i >ar�. <br />d <br />�5�� - � - � 9 G . <br />7eleplione Number <br />A <br />� � <br />� n . �- � , ��- <br />��o-� ,�-_ <br />Fee <br />DEPT. APPROVl�LS <br />�r:!.�-)' i % <br />Engineerr�� ��/ �7' <br />Watcr � +�%�� � � <br />Streef ""' "_'__""`_' <br />Communica:ions�= y-''�n^— �r'�" �V <br />Tmffic ���r �'�� �: ° /^ L... <br />Planning '� " - <br />f��.-'� i-- <br />. . ... �i:��l�j.� ,:��,�i{�i� iZ <br />l,�iTi. r=OR N;ATFR LIP;[ <br />i.�iCi�,TIOiJS l3Ei p�E EXCAVATIO': <br />� i.,li�i..�i�ir� �lr°,j��. Z)�i�lJ.�i <br />L4 i;�;J(S �};;{pfP <br />r��.�,MjCC;!:fl I; JtPi�°G�. <br />