Laserfiche WebLink
ilrr�i�H i iurv rvr( HIUH f•OF-WAY JSE PERh11T �� 1(7 6 <br />evcren <br />� <br />CITY ENGINEERS <br />EVERETT, WASHINGTON PERMIT NO.�I� —Z C� <br />The Undersigned __�f, w� r� L) � K Q �/ q S <br />Hereby applies (or permission to _� n n c f � e� c f n �l �� ?'� k e� � f' c� n P a o <br />�.',J.� ..,, //_ _ _ n �J � . . _ _ .1 �— <br />At the fo�lowing <br />�' �' �� .= U r � : <br />(wark to tN: done) <br />DRIVEWAY SECTION <br />NO $C4LE <br />�----- --•� <br />� � I" LIP __�.� <br />�30 .. �. __—._.._—' 30�. � <br />COPY OF TNIS APPLICATION TO <br />BE POSTED UK� .:�ASITE. <br />CALL ENGINEEflI�G DEPi..Sg-8817 <br />i'i HOURS BEFORE CONSTRUCTION� <br />�HECK LIST <br />Platur Vaive <br />�rainage <br />:urb & Gutter <br />iidewalk � <br />nspeetor's Signa;i,rr. <br />�� <br />11io� <br />CU3TOMErC <br />/ , . <br />:`� � <br />r <br />The un0ersigned owner hereby agrees to hold and <br />save harmiess the City of Everett from any and all <br />claims for damages that may arise because of installa� <br />tion and maintenance of tt!e improvemenc hereto <br />applied for and further agrees to remove same upon_ <br />notice from tho City and to replate public properry <br />dam� ed thereby. Qd <br />l�� GG <br />_( f t v) <br />Si ature of Applicant ,�Q.o�� � <br />.S �G��I � 3L'y�S.)Y��7G� 1rfhM %P{I' <br />Address '�«� <br />77�1— 1'� � <br />Telephone Number <br />Dept. Approvals <br />Communica <br />Plann <br />Approved.by <br />Date Approved Y <br />__..._..------ ------. .- - ._ ____._.__;.._ ..._-' <br />i <br />