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�/ ._ <br />Permi! No. ,�j �C?.. ..�,� ... .... <br />L, <br />APPLICATION FOR DRIVEWAY PERMIT <br />everett <br />CITY ENGINEERS ` , �/�J/� / /�/ � �//_ <br />. �/�L\ .Cl..� J.,-I` <br />EVERETT, WASH. Approved By <br />J �/, �%lSi � ;1��'y / / <br />The Undersigned �' � U' 0 � cY ��'l, (j � I+'' �, (` r� Dme Approved _ <br />Hereby applies for peimission lo Cn 1./ <{. � C�.0 �.�.Ci �lC�/1 h ci `��Ll � <br />At ihe following <br />SKETCH <br />IWork to be donel <br />h5 <br />II 1O <br />�� <br />�7 -- --- <br />S <br />a <br />� <br />l� <'. �.� P:. Y� L t 1 <br />The undersigned owncr hereby agrces lo hold and save harmless the City o( <br />Everett from any and all claims (or domages �hat may arise becau:e of �he <br />inslallalion and maintenancc of the improvement hereto applicd for and <br />fvrlher agrees �o remove same upon notice (rom �he Ciiy and to replace all <br />public properly Jamaged fhereby. <br />t" <br />i'... � <br />Inrpecfois Signalurc <br />STY- � r,1�;'EfJ � 2 ' <br />Dale <br />��i�l1 (^i%/Lli`'L,Ei l'L) fJi_j;.r.�_' 7�'i �),�/=�.[:' li/. L <br />Remnr �. t <br />�,_ ,�`� ' ,� _� c; / � <br />�' � <br />� ;� I „c' <br />�' <br />� ` <br />9 <br />��_ � 1J � , <br />Variancc Required <br />Yes ... .. _. _... <br />No.. . ._ ... <br />ScyT�"<f "" 'r <br />�r� <br />? � �� . �. �r <br />Telephone Number <br />Dafc <br />� ti� �� r�� <br />Fee <br />DEPT. APPROV.9l5 <br />Engincers "-� � � , � � � <br />wom� f��'14n,�%//�1.;,.�( <br />5���•�.d..-•'-'--- --� —'-�-:...-- - . .. --- <br />