Laserfiche WebLink
i <br /> Permit No. ..................1. everetlt <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS V. <br /> EVERETT, WASH. Ap ved By <br /> duple U IQ(p <br /> The Undersigned s'� ri f, t Date Approved <br /> Hereby applies for permission to <br /> At the following location <br /> SKETCH <br /> (Work to be done) <br /> oN <br /> 0/v �q ock c,�y a/✓ Jr 8 S TN TFFEE T <br /> �OROsyL7'!`/ TER fNf ---- — <br /> I <br /> SPACED C I <br /> r n <br /> T i <br /> 1 <br /> The undersigned owner hereby agrees to hold and save harmless the City of Variance Required <br /> Everett from any and all claims for damages that may arise because of the Yes _... <br /> installation and maintenance of the improvement hereto applied for and No <br /> further agrees to remove some upon notice from the City and to replace all <br /> public property damaged thereby. r <br /> y <br /> ,Signaafure of Appliry l <br /> Address <br /> _ Ce3 LLlL <br /> Telephone Number <br /> Date <br /> .sem tt -' <br /> Inspedo/Y Signafure $ <br /> Fee <br /> Date ---- <br /> ' DEPT. APPROVALS <br /> Remarks Engineer <br /> Water <br /> Street • ,v 7L <br />