Laserfiche WebLink
EVI-RETT, WASH. r _provedd�By <br /> j Date Approvr-d <br /> The Undersigned ;r-.; <br /> Hereby applies for permission to_ rf/ —' <br /> At the following location—t, Z/4 01 <br /> 01'Y` <br /> �r +4vnli- ..W..YH Wr..bM• v\�nVrw .. •_. <br /> SKETCH j <br /> (Work to be done) <br /> OIL <br /> L <br /> LOCATIONS [3CFUf;F: EXCAVATION <br /> NO T[: <br /> _ CI PIF. WITH W TCR \ \ <br /> pif T. FOR N'AT .R LINE._, <br /> ` nCA�[IUNS HLf REE .NATION <br /> The undersigned owner hereby af]rees to hold and save horm!ess the City of Variance Required <br /> Evoratt from any and as claims for damages !her may arise because of the Yes - I <br /> Immiroiion and mainitnonce of the improvement hereto applied for and No <br /> further ogres to remove sumo upon notice from the Cily and to replace all <br /> public property damaged thereby. <br /> f, <br /> (--le f r'- •�;1, <br /> / Y <br /> ,!'•c•4` �. V-4 — Signature of Applicant <br /> Address <br /> Wephone Number <br /> Data <br /> Inspector i Stet" / "- $ <br /> � !'re <br /> Dole <br /> DEPT. APPROVALS <br /> Remarks Engineers r �•—`—" 1 <br /> Water_ <br /> Street •_..._ <br /> y Communications,: <br /> Traffic v -- <br /> .- Plnnnirg <br />