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APPLICATION FOR C►RIVEWAY PERMIT <br />� <br />CI IY EtJGINI°ERS _ -- 'r� '�; � � <br />EVLRETT, WA.SH. Approved By <br />l iC' : /1/�Fl.' ��� <br />7he Undersignea. 1��� 1�'� �. (_�F11� LI t�J' --- Da�e Approved <br />_ <br />. . �r- r ) r- .; � � �-r ,-_, ,• � ( i ��- , T-�� <br />h!-;eby upplies for permiss�on to ''? I — <br />�-r�l�.�lC I __ — <br />At fhe (ollowing locotion_—� , a�`� � f�-*i_i'-k`'� �''. i �=-�= � �"' — <br />�— T�, F.-„r � . . , . . � � . , , <br />SKETCH <br />IWork to be doncl <br />The undersigned owner hereby agrees !o hold and save hormless Ihe Cily of <br />Fverelt Irt,m any and all cloims (or dumages that ma� arise because ol the <br />installation and mainlenance of Ihc improvemenl herelo opplied kr and <br />lurther agrees io remove same upon no�ice trnm ihe Ciy ond io replace dl <br />public properly domaped Ihneby. <br />DFtIVEWAY SEC710N <br />0 SCALE � <br />I._— — �.�--'' i vr� �_� , c� _ i <br />I � <br />� I' L I P =� <br />37' -- �- -------�f„30�� <br />_i_ <br />i. <br />,yw ' �L, j . <br />Inspedor't Signofure <br />�ii?= � ";� "'ct,l.� 'C'=/C_T 'L <br />Dole <br />Remo.ka <br />E=vi -.�- <br />—� f �o� � �,r :, <br />"iiDr� <br />L3o4 <br />�_. �_� <br />I Z �G.1 <br />' !�/.�76�L <br />� <br />r I <br />_ _ \` �7 <br />�.�,: p vr � o/,.. J+ � <br />I <br />�g <br />� �� <br />Q � C_ <br />1_ � <br />� <br />e <br />H I C� <br />Q I:� <br />,� �;� <br />2 y <br />� � N_ <br />h <br />?� W <br />W �QC <br />� �\ <br />I� ' <br />r.. <br />Vorioncc Required <br />� Yes <br />;',: C2 1� �� z C. No <br />� ` . '� � <br />� Signafure o1 Appliran� <br />, <br />Addrest <br />ielephonrt Number <br />. ! <br />Dafr <br />,r,..�l f �i� �� <br />Fee <br />DEPL APPRGVAlS <br />� <br />� � �� _ `/� /7z.._ % <br />Enginee�t __r;'�,.�L. (� . �� <br />- Wnler _._ —_ . . <br />r.lrrr' __.- _ . _ <br />