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. I �`� -` l <br /> Permit No. .. __.—c......:....: <br /> � �� everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> QTY ENGINEERS � /�Z /� <br /> -`_,L'3.�/�� ` <br /> EVEREI"f, WASH. Approved By <br /> / .�y,4,4c,� .�,J �9z3 <br /> The Undersigned �F�+G 1 G{ G ��_� �-1� � Uoic Appro�ed <br /> Hereby applies for permission to ��STn�2.� GUfJCQ=^'�= �� T�=' �1 P l_IG c�t�) �� �� �f <br /> ���2T�r <br /> At fhe following location <br /> 1 ; % "Z �'"`' `=',,�f=t,,, �.�r�Ll <br /> SKETCH <br /> IWork to be donel <br /> � <br /> f ��z.��C I T— <br /> Q <br /> — -- -_ , _ --- - - - - - - 3 <br /> � <br /> � � <br /> ���.,___..�_�.,_T=—.-'�BROKEN cuRt3 � <br /> � c�o�u�r,��c��-o �32 ' <br /> I�C. TI-? `,T (��p�nc.Eq tJi't/a <br /> � GCIJC.�Ze'.TE, <br /> / <br /> Thc undcrsigned owner hereby agrees to hold and savc harmle:s Ihe Cily of Vc��ancc Required <br /> Evc�clt (rom any and all claims for dnmoges thol may arise becouse o( Ihe Yes <br /> ._.....___........_... <br /> instollalion and mainlenance of the improvemenl hcreto applied for and i <br /> furthcr agrees Io remove same upan nolice from the Ci1y and lo replate all No..........._._.___..... <br /> public property damaged �hereby. ', <br /> P•vc.Fic _'�zcc — -— <br /> DRIVEWAY SECTION ' ��Q � <br /> _ Sv Ll�Xt�w_J .S.cel,• Co. /':'D ' <br /> NO SCALE �' -' Signafure of Applimn� <br /> � .�� Y . . � I <br /> `'-- " erp P.v. �r �ro� _ � <br /> Address <br /> 30" ,�� 30" .2.5 9- -lf.�.5 � <br /> ��` Telephone Number I <br /> / � • �1.vach /.5; /9 73 <br /> ��:. �`W-�1 � � �r� ^ �� Dale <br /> Inspecfor's Signafure � S ��2�� `�-�(;.: <br /> '> Fce <br /> 5/TE C/-fECKcD 3- 19-73 t«�' o l� c. <br /> Dale j-1_S --7_; <br /> � DEPT. APPR VAlS <br /> / <br /> Remarkt Enginecrc `� ����?�'� <br /> .�Y Waler � "�-���' - 7"'. <br /> � Slrecf F, /'�, �rs ` '�' " i �� <br /> -.�. Communicalions'' � - '�•�; �j <br /> T alfic <br />