Laserfiche WebLink
,���------�--��. <br />APPLICATION Ft�R RI�HI-OF-1�111Y US:_ FERMIT <br />cvcrcfl <br />� <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />The Undersi3ned � —. <br />Hereby applias °or pemiission to <br />�.. ,��;i i - ' <br />At the following location — <br />�Work to be done) <br />ORIVEWUY SECTIOP' <br />NO SCALE <br />�— -- —� <br />I" I.IP <br />I 30" ---•i•3--�1 <br />r. _�..____ __._.____. <br />�.�lPYOFTHISAFPLICl�i10�'J Iu <br />��,!= POSTED ON JOBSITE. <br />� ..'�_I_ �NGIh!; [RI�1G DEPT. 25D�SR; i <br />� �;U'.� L-.LI-UR �r.P.:�--i;��,:�ilGf�: <br />�HECK LIST <br />\"later Valve <br />Drainage <br />LCurb & Gutter <br />Sidewalk ... -- <br />Inspector's Si9nature <br />—t�ate <br />Note: Original to Customer O <br />, ��,�Y �o F,� 1_ � l� g <br />� .;opy ii� imP�:citn <br />� ,� <br />�;���= ,-1 . <br />PERMIT <br />The undersigned owner hereby ag�ees to hold and <br />save harmless the City of Evcrett from a�y ar�� ���� <br />claims (or dama9es that may arise baca��se of installa� <br />tion and maintenance of the improvEmant hereto <br />applied for and further agrees to remove same upon <br />no[ice from the Cit�' and to replace public property <br />dam �e ere <br />igfiatur�f A r,ficant �ry <br />i7 �, %�n }��,L(cl—__ - - <br />.Q(��f855 <br />�? -� <br />Te ephone Number <br />/� -/�- 27__ -- <br />Date <br />Fee ',/? � <br />Dept A: �rovals <br />n <br />� <br />Engineers.�_. '!�! - — <br />Street - <br />Ccmmunications <br />PI <br />Approvzd bY <br />Gutr F\pproved <br />. <br />.. a _ <br />� �' , ;s-f � � . ' <br />, .._� .. ,.... `1'. •�.: � . .__;'- ._.,., <br />