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Permit No. � . � � <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned <br />everett <br />LC��// / <br />" Approved By <br />�ERRUl�,� %�� /9I%. <br />Dale Appiovcd <br />Hereby applies for permission fo l� o u�'� 0 %� �`� �t s—'� n i� ��I1 t•� �/� a) <br />At the Iollowing location <br />SKETCH <br />IWork to be donel <br />=_-:-:-� ��- ---- <br />�,� _6p, <br />/ ,�` , ca <br />��`' f �� <br />. e, , <br />�.: \ <br />m, � \ <br />The undcrsi�ned owncr hereby agrees to hold and sovc harmles: Ihc City a( <br />Everelt from any and all claims lor damages that may arise bemuse of �hc <br />inslallation and maintenancc of the imp�ovement hcreto applied for and <br />further agrees lo re:aove some upon notice from Ihe Ciry and lo replace oll <br />public property damaged thcreby. <br />Inspector's Signalure <br />? % <br />�%Th� � HEC .�"t-t!J �j: j //-. <br />Dale <br />Remarks <br />3��-1 <br />/I/c:�Ti_= ; ���TE.�SNUTG�i�� <br />�.�i�F To z� L�eqr�v <br />f%ND %�[Accv CVTs�ar_ <br />fJ� S/!Jr WAL.r� FjEi�J ".<�i <br />� <�cfn�� Co,✓c.�-.� <br />Variancc Required <br />Yes <br />IJo <br />�� � �.:z' <br />Signafure ol Applicanl <br />%.�0� .�1� �'r' �V`lt�C� <br />Address <br />..�( ; ...5 h • 1 <br />+.�1 �' l <br />Telephone Number <br />_ L����7� <br />Dale <br />S �. i f� 6�' � � <br />Fcc <br />DEPL,4PPROVALS . <br />,�'/ /'/�� Z/� <br />Enginc� �� �_ — �C�C.4�%�iL. � 7 �'- <br />Water li,��` 'i :� - / �/- 7 � <br />� <br />.....�•i - --- <br />