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_, <br />�._j <br />Permit No. � =c ............:�— <br />APPLICATION FOR DRIVEWAY PERi.�IT <br />everett <br />CITY ENGINEERS _ -� �? �� <br />EVERETT, WASH. Approved By <br />F��3r�i �,9R y,�� i�7,Z <br />/ c_ �� �_ / � Da1c Ap�roved <br />The Undersigned � ^ �� �' ^ -- — - <br />Hereby applies far permission lo—� "�� =� i � ' � � l -'� ���'J —'�� <br />A'r the following location <br />SKETCH <br />IWork to be donel <br />���-- P`- �. <br />Evcretl from any and all claims for damages thal moy arise bewuse al Ihe � Yes . ._.. <br />inslallalion and maiNenance of thc improvement herclo applicd for and No . <br />farlher agrees �o remove same upon notice (rom the Cily and �o replace oll ��������-� <br />public properly damaged thcreby. <br />��. <br />N�,;r:.:- -r'� -_ <br />� � .i � r �� , ;,. <br />_ 1 :. : ,• ;: <br />5 � P� i�. i,. � <br />�t )lil'" ql:,� ., .. <br />Inspecloi s $ignalure <br />•.i /T%? �. H% G.f'i= /J �il:'/7: <br />Dofe <br />�f��ii-: r_ ,. � ,- � /. .�� <br />1� 1`' �a L V �" i'`�, ,. <br />� ; ` <br />��/7 ////// / <br />� (�� '` % ��j� <br />(�� �i'/ �'CT v''t'�G- <br />Sit�6lure ol Applimnf <br />/iJ .% J ��-[ �.?.�.. � �' � . <br />ielephone Number <br />�� <br />% .- ��- / S / rr'''%?� <br />Dato <br />s �I)l' !—.� 6.= <br />Fee <br />DEPT. APPROVALS <br />//�, / " r <br />Engineers-' ,�t7 �%Y-,�n.� z�f1�7L. <br />'Nalcr - ' � � �� � � <br />Slreet � �'. f . ��':",� , "� <br />" I�a: '_ _— _ _- __ _ <br />