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_ -, _, <br />_ _. <br />%� % _ ':� / <br />,. <br />Permir No.c ._Y .........:...:...:... <br />APPLICATION FOI� DR�VEWAY FERMlT <br />r <br />�everett <br />CITY eNGINEER:i ! <br />_ , j��f �,,. 1 � �-�,1/�`�-.- _ _ <br />EVEQETT, WASH. ` Approved By <br />ie-9- 73 <br />The Undersigned �f �--� �'��� =-� � '— :^�->' ' �,- __ Date Approvcd <br />Hereby appli�s for permis:ion to � j � � � `-'� � !� • �� � r� �1-� i ,� � ' — C � �'� `._�• � ' ! ' l'� � <br />�1 _ <br />At fhe following localion �`� �� �-� ��'� 1' • �--�-/ ��la. f i,'._ �- .._ <br />SKETCH <br />(Work to be donel <br />(��o :-c�,..= <br />The undersigned owner hereby ogrees lo hold and save harmless thc City of <br />Eve�etl irom any and all claims for damages Ihat may arise because of ihe <br />instollalion and maintenancc ol the improvemenl hcrelo applied for and <br />further agrees lo remove same upon notice from the City and la replace all <br />public properly damaged Ihereby. <br />DRIVEWAl' SECTION <br />NO SCALE <br />r-- - / I ' —� <br />I" LIP <br />rgp��� 30�� <br />O� �S-%? <br />Inspeclor's Signalu�e �i� , <br />5/rr_ C.1-�r_=c��r_� IC-s-7.3 <br />oor� <br />� 1 �i J <br />� GuTsk� <br />�'r <br />U� <br />'! <br />� <br />Variancc Required <br />Yes . . . .._... <br />No. . ........ <br />J <br />/. L i_ .. �dG L_ /Y4�-C o'� <br />$ignature o! AFplicanf <br />� <br />l iiC �1, " ('� - <br />Add,�,s <br />� <br />_ jJ�- >=�L'�_ <br />ielephone Number <br />��' / J <br />: i <br />Dnle i��c� _ � 4,3 - 7 3 <br />/ � _ ,.-, `: , /��. <br />���.� / <br />S �� • � (fr�` <br />.l l�ii I� ' �1, FCO <br />��� L l� "�% •� � <br />. ,� j -?3 <br />� JEPj APPROV [5 <br />� �z�s<.,,� /0-5"-�3 <br />Engineers ' . � <br />Waier �— <br />Slrcef ...,"� �-�� ' ' <br />Communimliont._:1 �•'� <br />