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Permit No. `�'b.Y�� everett <br /> APPLICATION fOR DRIVEWAY PERMIT <br /> CITY ENGINEERS �' <br /> _r1 �-�, � - �7.,,v-�.� <br /> EVERETT, WASH. , � Approved By � <br /> ^ c/,/ ?`'� /97/ <br /> The Undersigned_ - �O �N l Y�0 t U � ' /� Dore Approved <br /> Hereby applies for permission to _ C QNS'� n 2 �r �IC.1.� <br /> At the following location ��/Z � NAe['�lil� <br /> .,, <br /> SKETCH <br /> fWork to be done) <br /> \ �_ <br /> / ` �� I - <br /> I V \� I <br /> I � \ <br /> �i N � 4`� 4 l�`� �� Y N <br /> { . Q a i J � I b � <br /> � � I 1 � � � �--r �—� <br /> I � i ! = I <br /> ; i9it � a � —��� y0 <br /> , � �� j <br /> , ` i � i � � <br /> i � : <br /> ' __---- •�.�.v��---� <br /> _. � <br /> WQfr,Y n�..{.� �.. F. Ytn"..-..A . <br /> w.. <br /> -_ . � _ . �.. " _ __ _.x. .. _ . _ . _..'_"' ". '_.'_'_' . . <br /> i <br /> / <br /> Pn.k�n�� mcler'� '_c ��'e `, emovc�4 � <br /> droac� wa� <br /> The undersigned owner hereby agrees lo hold and save harmless the City of Variance Required <br /> Everetf irom any and a�l claims for damages that moy arise because of the Yes . <br /> .. .. . . ...._... <br /> installotion and mainlenance of thc improvemenl herelo applied far and No <br /> foriher agrees �o remove same upon notice {rom the Cily and to replace all - - -�� ���- <br /> public property damaged thereby. <br /> lV_EhrAY. _ .5[CT10N <br /> ��lq-.�SCALC� : : - .. <br /> �i � � � <br /> � �%/)--�/!/"Z � • - 's-f IG�t <br /> - $ignalure of Applimnf <br /> �'~�---_.._ . /y �c � �'�- ;-.�,�_t�n,. <br /> ` ;�� So :�'r'4 ��: � Address � <br /> 1 <br /> ---�--� <br /> 2SZ- �020 <br /> Telephone Num6er <br /> ��/��/�// <br /> ��� _r. �' � '� i /�> - Dale <br /> Inspeclor'� ignalure § �� Q� ��� ���,/ <br /> � <br /> ..�/ Ti:= �� /- C rc'�/J �/ /7i Fee <br /> (__.1f � <br /> Date <br /> DEPT. APPROVALS <br /> Remorkr — �� -�'� � 7� �7/ <br /> Engineers'" r� � / <br /> Waler � -y*'�'-'^-�-.. ?- !r?i <br /> c�.�__ ! <br /> - Strect_ : <br /> Comm�,�.,�mii,...... . . ' �• --�n.... ., - - <br />