Laserfiche WebLink
EVERETT, WASH Appi ved By <br /> N ;' / -JO '-'' ' 7 �' Date Approved <br /> The Undersigned <br /> Hereby applies for permission to- <br /> At <br /> o At the following location �� S�". '37r" <br /> SKETCH <br /> (Work to be done) <br /> oN /�/zovE/rTy rtR �/aE ,58 ST�'r E[� <br /> SP,4CED C L-r�" <br /> ns 5 <br /> I <br /> The undersigned nwner 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. , <br /> .Signature of ApPti�gnI <br /> N y i o <br /> :Y) S' L f L7 <br /> Address <br /> .3 L cI L � <br /> Telephone Number <br /> Date <br /> `Inspect o Signature - E <br /> Fee <br /> Date <br /> DEPT. APPROVALS <br /> Remarks <br /> Water <br /> Street lA 4J .b <br /> Communications <br /> Traffic <br /> Planning <br />