Laserfiche WebLink
Permit No.: l 3. ..4� everett <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. Approved By <br />Ar4.�1 /G; /973 <br />F The Undersignedm N�-, RP,M Date Approved <br />�'Z — / <br />Hereby applies for permission to f= RECGT {'� '3Cn r H I s l t r,) C1C. ]7Ei�1 F'Ch�r s 7rD ! ,7 IT i-4 N <br />�O 4"T O r- T 14 PAU T C7 �1 S T T S "T, <br />At the following location 9 2 1 ' ro-7 T H T <br />SKETCH <br />(Work to be done) I No-r*: 13t_DG. Prot-t1T RE UIR6C!6 <br />oe,1 -THE FEtJ( E ASCo <br />Q <br />06 <br />SCAL9 <br />00 VA"uaTrot'i <br />PAoFbsrn �•�oo oer <br />E C rJCE <br />341s HIG -I �. <br />/1Ps'r:ert L'nOCr <br />87TH <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 for and <br />further agrees to remove some upon notice from the City and to replace all <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />I" LIP <br />30"014 <br />q � <br />--3—�1 <br />10s <br />sT <br />92t <br />Variance Required <br />Yes _.... <br />f <br />Signature of Applic f <br />Address <br />fir? 8,3 <br />Telephone Number <br />Date <br />