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Permit No. � .:....... �._'.. _... <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />Thc Undersigned _ .�a c%C [ il �1)_ I' ___ <br />everett <br />"—��- °� ���� <br />� Approved By <br />_ ) ��� ''� <br />Dalc Approved <br />Hereby applies for permission to �_�IIf2S'_� � �`. �'�,� `�-f �-1.�-in'• -'� �r ��k�o� ��- _ <br />At fhe following location ��� � h ��� r ��� �`�v� <br />SKETCH <br />(Work to be dor.�) <br />� <br />\ <br />The undcrsigned owncn c�reby agrces to hold and sovc harmles: t5e City o( <br />Everelt (rom any and all daims for damages Ihat may orise because of Ihe <br />inslallation and mainienance o( ihe improvemenl here�o opplicd for and <br />(urlher agrees io reTovc same upon notice from tne City ond �o replacc all <br />puhlic properiy dumoged there6y. <br />Inspector's Signalure <br />�i.�T �.r1E.%'.�'f_=/� "2 / � 1 <br />Dale <br />� : �:�� ., ' '� <br />��---}-`�-i...._ <br />� ��u <br />� � SC1 <br />)_.._� <br />IV��r� : <br />�✓�� r�. �� <br />�/�r�.v� <br />s/�v; c��� <br />i�.� a,c ,L�r�r,�a� <br />� Y.C�a c,� p ��rsrOr c�r= <br />.S'iDG� /�(/slLtC BE/-G7�� i�'i ✓�vG <br />�ONC,c'r_r/�' <br />Varionce Required <br />Ycs <br />No <br />� o <br />/�) r, . i,r � i.�.: �-'i...F' <br />� Signafure of Applicanl <br />(�' ( 5i /_ti /����a �u Rlc.��� <br />ndd,et: - <br />.��3- 22.5 - <br />ielephone Number <br />� �. — �� -- �; <br />Dalc <br />$ /l�!'` i' L. E? <br />Fce <br />DEP . APQROV 45 � <br />, i l J . <br />'; ' 2� f�77`_ <br />Enginems _ <br />Wa1cr �'�-i-�s.�7 � � - / 4 - 7 �- <br />- ---- �--.._..... .. ._ <br />Slrcet _ _- "-- - -� � � <br />