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� -- �, _. <br />Permit No. � – � . ...:.. -:_,:. <br />_� <br />q 1� <br />.�, � <br />U ��, <br />U_ f,) <br />CITY ENGIIJEERS � y <br />EVER[TT, VJASH. U \ <br />u <br />The Undersigned <br />APPLICATION FOR DRIVEWAY PERMIT <br />everett <br />�//• i <br />� -� / Approved �By <br />J��:z:� 1� i97/ <br />Date Approved <br />Hereby applies for permission tu -1 / : "_ /' – % _ f, i' ' ', , - i . ''!': i_ �" ^ i- ' "" ,� : <br />At the following bmtion� �� � �' '/ _ — 7 �� � – /� �� l. � j� � �' L�' <br />SKETCH <br />IWork to be donel <br />^(�.Vi:_��-l• <br />;.' <br />� <br />V���a�'T <br />�o� <br />r�pOS� <br />�� � ��� <br />� <br />I � <br />. � .. ' . ..___— --_ . fi—__. ,—.— <br />The undcrsigned owner hrreby agrces ro hold and save hcrmless �hc City of <br />Everett (rom any and all claims (or damages Ihai may arise becouse of Ihe <br />installalion and mainfenancc of ihe improvement hereto applicd for ond <br />furlher agrees to remove same upon no�ice (rom the Ci�y and io replace all <br />public property damaged Ihereby. <br />InspcUor's Signalure <br />- `�/�.� l.,�r_"i7 1-//• ' L <br />Dafe <br />o� j, <br />Vnriao.e Required <br />Yes <br />No <br />i' <br />G.' --ti. <br />, � <br />n�.- "� :�, � � � i. <br />� i .i ., . ; i. �:� � /.��. <br />Sig lure of A�Slicanf ,/ <br />� w ,_. <br />._ ,;�� � � ; �, ,� <br />�s� � �- � �����_ !;��„� <br />� ,Add�ets ' <br />-� , <br />ielephone Number <br />�;�/�'� '/ <br />Dafe <br />s /,;i / "j=/_- <br />Fco <br />DEPT. ,pPPROVALS <br />Enginecrt �� =-��"�" �" ����'^L/ <br />�� � Water � . / �� — _ /i <br />Street <br />Ccmm..�..;,_�icns—:._ . . . . . .... __ _ <br />