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[�/ 1 <br /> 'r'�✓ f//.L �%(��'�4L� /�rt.' <br /> - �2 — �� everett <br /> Permit No. .. .. ..._..................... <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> JJ%% <br /> CIN '..NGINEERS i�//� � <br /> Approved By <br /> EVERETT, WASH. � -- i•�, •/l.i% <br /> �.,�-;� • <br /> The Undersigned <br /> �L �'1 ER �� N "-"� 5 K I R I` Date ApProv� <br /> Hereby applies for permission to B� p r'1� T!�P Pn������G A/��/� -- <br /> A1 fhe following location L V <br /> SKETCH 2$ I �I 26 I 54a <br /> IWork fo be donel J. <br /> 23 22 <br /> 54�0 25 <br /> 30 29 <br /> ►o� lo'. <br /> ED QE oF PAVEMENT� EXISTING DRIVEWAY <br /> ALVERS�� BLVD, uEw p.sp+�►a�-� aAv►Ko <br /> �� , <br /> � � <br /> O� <br /> � <br /> Variance Required <br /> The undenigned ownen c�reby agrees lo hold and save hwmless thc City of Yes. _.. . ._._._.__.... <br /> Evera�l from any and all cloims lo� domages thal may arise because of ihe No ... . . .... ._..__. <br /> insfallation and maintenance of the improvemenl herafo aoplied for and <br /> (ur�her agrees �o remove same upon notice from the Ci�y and fa rap:ace all <br /> public propertY damoged thereby. <br /> �/. . <br /> � i� �S 2 <br /> � ��� �-��' ' Signafure of Applicanf <br /> `'1 �f L� �Y�.A-Q�t�-Il�� �F�'L'J-1X . <br /> � — Addreis <br /> ,.- r� / 7� 7 <br /> I ��r .�Z " 5 <br /> f � � �� � � Telep one Numbar <br /> � ,'r�l > —�> �' ,� ` . � �l % �' <br /> �' i ra <br /> �� s Nd FEE <br /> � <br /> Impecror'i Signolure <br /> Fes <br /> '%`1!��A1/� /1n r/�� i- <br /> ii ��"r'i-. 1 cr'����/7<> � ...� .. //+( �;��/ iL <br /> y'_� � <br /> uale <br /> DEPT. APPROVALS <br /> f-// � <br /> Engineen- ��/��-7�� �� �. . . . - , <br /> Ramnrks �Na��.J�'. --- -- = ..:/_... ___- .-- --- <br /> on...m.�.._�. _'___.'�_�x+�vw�: . . . r . . 'i��ffi .. . . � <br />