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7� -��n <br />Permif No. � __. . <br />APPLICATION FOR DRI`""`NAY PERMIT <br />e verett <br />CI7Y ENGINEERS ���/ � <br />EVERETT, WASH. t App.oved By <br />� ,6' %T <br />fiale A roved <br />The Undersigned �' 'J �� !-z',-•_,', � . J _ � � _-�, . _i -r-1-O' 1 _ :a � i J'� PP _ <br />�/ <br />Hereby applies for permission lo � U �`� -_�� t�� �- � � � �� �J C' • y� �'� ' -' � ' ' ;' ` ' <br />--j-- <br />At the following location ��Q. gC �M c� ��"-r ..r� r--�'- — <br />IWork fo be donel <br />1—o T 3 r- -- <br />i��—_--�--'�_.___ . .i/_�t �- <br />�–/ '; � . ' <br />' � / <br />Thc undcrvgned owncr hereby ogrees to hold and savc harmless Ihc City of <br />Everelt Irom any ond all claims lor damoges ihal moy arise because of Ihe <br />inslallalion and maintenance o! Ihe improvemenl hcreto applicd lor and <br />lurlher agrecs to removc samc upon nolicc froa Ihe Ciiy and b reploce all <br />public yroperly damaged Ihereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />f•--- --- �>� ' — ---I <br />I LIP � <br />� <br />�30�✓� --�30°"I <br />�+_ � . <br />J! <br />i' � —�—_� / 1. ��,_ ��.,. <br />Inspedcr's Signalure �� �'��../.: , '� ��'7, i . <br />�. . <br />.� ��_i,_L <br />n�i� <br />RemarFc <br />� ,. <br />i/ I-'�,�� �-,, _� <br />� rF <br />� NOTF_ _ <br />1 EX / 5 T /•'�/ <br />� �. �1� <br />'�,\ • , I <br />Variancc Requiicd <br />Yes <br />No <br />i <br />_ � �� ;"� _� � . , <br />. .: ��,.:. . <br />.�.,._ ', i•� ��t �"` <br />%'''� <br />� �. <br />�_ . � �..:('- �.0 •-� .._ <br />� <br />.i� �.: -._ �._'. �,. �;-.:. <br />' $�ignalure o( Applicqhf <br />_ �- , <br />, . �- ; . i= , : <br />, -, : <br />Add�osz . ,. � � , � <br />, ,'- ,i' .` <br />Tcbphone Numbcr <br />-�-- ---�- Dafe'------- <br />s - � <br />� L.��'G <br />/A I . <br />��.1 Fee <br />�Yr �l, lflt.c� <br />�" �_ - r� >/ � 3,4 q 5 J <br />UEPT. APPROVpLS <br />Enginccrs k � - �� 1' � �i— <br />:� <br />Walcr � _._. — <br />Shrat _ _—_.__'_ —_'__ --- <br />�<. <br />