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,�/ <br />Permil PJo. .. ___ �,: .,:. '.:�'__ <br />CITY E'JG!NEERS <br />'rVERE?T, WASH. <br />i . <br />The �ndersigned_�_�, <br />Hereby applies for �ermissiun Ic <br />A� fhe following <br />SKETCH <br />IWork to be done' <br />APPLI�:ATION FOR DRIVEWAY PERMIT <br />/..:" T r ..' r • <br />'//,/��� ' �%Y <br />h• <br />The undersigned nwner hereby ogrecs to hold �nd savc hormless ',�. Gity of <br />Everell Irom any and ad rlaims lor comages thof may arise bewise of Ihc <br />inslallolion and mainlenancc nf the improvemenl herclo applicd for and <br />(urlher agrees b remove same upr.n noticc Irom thc Cily and b rcpmcc all <br />public properly damaged thereby. <br />i <br />. �: <br />�:� . ;. <br />Inspedor i Signofuro <br />� <br />� <br />Remarkr � <br />i <br />�L �'.1L'. , , . . , <br />__�;�c. �: <br />,'.��el'f!i! <br />� <br />j ; <br />` ' <br />� <br />n, <br />ti�-�.. C�,�.ti <br />Ap oved By <br />' 3. 14�,<t <br />f��'c�rnqer <br />Dalc Approved <br />i"•5o' <br />Voriance Required <br />Ycs <br />No <br />/I ��: � . <br />�' �.! �,. I�.. �-�U r —1 i. `. <br />� : ) Si�rafurc ol Applican� .! .: . <br />l � <br />r�� � � � �� . ' . . <br />�: �.. � ��_ �� � ^�—�--� ---y�r / � <br />,'. f'/(���/��(,���Inrers ' <br />Telep6onc Number <br />b�to <br />E �, , ' _ <br />—"A� r L _ <br />___T _ <br />Fec <br />DE^T. APPP,O\'ALS <br />� A � i �r� ut � <br />Er�,�in.erj Yi . !---'------- <br />We!n .j,_._��_��.L:'.G*'.'�.,.�_"____ <br />