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APPLICATION FOR GRIVEWAY PERMIT <br /> CITY ENGINEERS 'r <br /> ,[V[R[Tf, WASH. �Approved ey <br /> . I <br /> Thc Undcrsigned ��� � � � �J � �' Dale Approvcd <br /> C�4 i�-� \ <br /> �' '��� 1 1 _ _' P • � P_ _. � I � / � / <br /> Hereby applies for permission to — <br /> _ ;.: i - � F . -, <br /> � � '�� � - � , '� ^� �, �, <br /> At Ihe (ollo�ving �o�ien-:��1 �:_...L` '"�" , r �•.- � , , Y' {' � — <br /> , r .. <br /> . � .�1�.. <br /> — .__ � �._� . �_ � �J . . r,_I � �� ��1.._(l <br /> - �� -- <br /> SKETCH ---- - - ------r-- <br /> IWork fo be donel �� '�" �'` `"�:� <br /> � '- - .) <br /> ; <br /> �pQ--�-N _ _ . �^, � __ u.3 1 _ <br /> _..._ <br /> y J <br /> A^ .... . .... - .� . ..... • . . ..I <br /> �u _�`fl.,/ ._ � ' . !" I.IP .. - . . ',i.. <br /> 1, , � �, �C�--�°- �-"'„_..,____.__------ -•- --X- - ._ .._ �%�_,�_,� ._ . <br /> . � <br /> »-----�-- <br /> , �_�.._._ ---------��/-�/- �:�--- - - \ <br /> _...__...__.T-. -/ ` � <br /> ` -��/ / / I L_ � ��}, I ?i'.,. . .�'^� f11i2` I <br /> .� i � r � ; , , , �,eF <br /> �. i,�:.. i � �� <br /> .� . i , ' .._�.M <br /> � <br /> -� <br /> �� i <br /> ''r' � ----- r-� - - i <br /> � <br /> / , _ ' <br /> `` �� <br /> � I /�� � <br /> ,, ,�� . . <br /> . <br /> --_, _ <br /> .� \ <br /> The undenigned owner �meby agrem lo hold and save hormlecs ihe Cily of Varionce Required <br /> Everetl from any ond all daime lor damage� Ihat may arise becausc ol �he Yes . <br /> imtallo�ion and mainlenance o( the improvemcnl hcrab opplied (ar and No . . <br /> lurlher og�eef to remove fame upon nolice Irom IF,e Ci�y and lo replocr. all <br /> public property damaqed thcreby. <br /> \ � <br /> \ <br /> I/ '' 'I ,i� Signalure`o1 ppliconf .. <br /> � r . , <br /> � , � C ��' , �� � <br /> �- ' - - <br /> �;�r: /� aad,a�: <br /> '7 4� <br /> i <br /> ielephono Number <br /> � -- � - ( ,, r <br /> ��� <br /> � <br /> _ / ^ � ! Dalo <br /> �__'��. � t �' ��tJ�i.. i �C:, � ; <br /> � � ��_ I i� <br /> Impecfoi s ignafwo ,� S s-t. , . i�) .,1=' <br /> Foo <br /> Dofe <br /> DEPT. APPROVAlS <br /> Romark� Enginccrs <br /> Watcr � � <br /> SVee! <br /> Communicotionf— � <br /> t. <br />