Laserfiche WebLink
(Work to be done) <br />3T�9TE hii�t%q y <br />J _ <br />es <br />m <br />�' loos Za• 1�17 <br />r—/n/s-Ai/- /Z dt/GVEer" 7-%4E <br />L— C o A/ s T iG'tJC'" 3 L oon V c <br />8¢ Ld STeEE7 <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims for damages that may arise because of the <br />installation and maintenance of the improvement hereto applied fo- and <br />further agrees to remove some upon notice from the City and to replace all <br />public property damaged thereby. <br />Variance Required <br />Yes <br />No <br />--- <br />G�i'�ECkE0 <br />/-�0 �r�.LG�GLG2� j �•i'>'•�/eZ. ,L� r Sigtiolure of Applicant ? <br />g'c a Ent ✓-) -,Ala,-S <br />L ss <br />�' n'v Telephone Number <br />Date <br />Inspectors Signature <br />Remarks <br />E <br />Fee <br />DEPT. APPROVALS <br />a „fr/E>�9 <br />1•�• nginee <br />Watera"P <br />Street <br />Communications •�—� �� > > {` <br />Traffic <br />Planning <br />