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� _l� . <br />Pcrmif No. -..-% i; --" `-�-- <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />everett <br />=��, <br />, <br />,�, <br />`�,,, — <br />Approved By <br />j� r� ��G �'i!/,e.r.P /. S�/�%� <br />The Under,i�ned_._LL� %Tf"! F F D- R _ oo�� Approve�T^ <br />hlereby applies for permission to � ��l ,, 7. .Q � I�' Y � 7�/V p6� /•�.:� S�U% <br />At fhe following location—� �''' Z/ —�'�.FL/, /� L(/,D. � <br />� <br />SKETCH <br />fWork to be donel <br />�. \ <br />� `�O. <br />6 <br />The undersigned ownen c�reby agrces to hol� and savc harmless Ihc Cily o( <br />Eve�etf Irom any ond all cloims lor damage� th-t may nrise because o( Ih^ <br />installalion ond moinfenancc of the improvemeM hereto applied for ond <br />further agrees b remove same upon nolice from the City ond to reploce all <br />public proper�y damaged �hcreby. <br />nr <br />V�%/C <br />Inspeclori Siynature <br />1 /TF C`.�/,�'r',c'/_-"iJ �� %9i <br />Dafe <br />Remarks <br />`iy�.�J i � ;i � <br />V�': V,E <br />1Z <br />._�,`!Jr , J %.r!- <br />a <br />I;equired <br />Ycs <br />No <br />To U� ✓�i%�i� //i' sn� I � �' / / �''C�r <br />, _� �� t_t, <br />_ �- � _ ��� Signafure ol Aprliconl <br />, / 7_{4/-i. , <br />� / � .. ' <br />. , <br />�. � - i-' . _ � ' (, <br />Address � <br />, ,.,. � � �_. . _. <br />Telephone Number <br />P <br />DOIC <br />g � / � ! . i <br />i <br />Fce <br />DFPi. APPRpV,AL <br />Engincea`�� f/(�'yL��/%tl/� <br />Watcr �s-• ��— �% I l-1/— 7 I <br />S�rert —___�._.—.'— ___-'-" - <br />