Laserfiche WebLink
Per:nit No...(....�.. --'._�...� <br />APPLICATION FOR DRIYEWAY PERMI7 <br />CITY ENGINEERS <br />EVERtTT, WASH. <br />The <br />everett <br />Approved By <br />Dale Approvetl <br />Hereby applies for permission to �a/ �_7r/Ql.l_Clr .RQCLi—gi����' f}Le��G �%O S''7` � l/,E _ <br />12. WRTerZ ! 1 NE <br />�41P-KAP Ta <br />� CLEAR VAl.VE <br />BoX) <br />- -�- �� <br />• � `.s'.-c <br />- <br />___ _ _ ------- � N � ,�' �"__�LY� ---- _ <br />The undarsigned owncr hereby agrecs to hold ond sove harmless the City of <br />Everell from any and all claims for damages Ihat moy arise because o( the <br />installation and moinlenance of fhe improvement herelo applicd (or and <br />further agrees b remove same upon notice (rom the City and b replace all <br />public property damaged thereby. <br />Inspecfoi s Signafure <br />Dale <br />; ;;, <br />2 FT (MtN) <br />Variance Required <br />Yes..._ ....._._.__....... <br />No _ ......... _. _ _ .......... <br />`P�U.iL'Vn.�i� C,/� - <br />Signafure of Applicant <br />� A res � �^ <br />a // <br />' Telephone Num6er <br />�I u.vF_ J�, J 9% J <br />Dare <br />a �� ,� F r_ �:. <br />J��C.�/� ,�i °.0 <br />� . � . <br />Fee <br />6_S_: 3 <br />