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J � � everett ' <br /> Permit No. _.� � " <br /> : . <br /> . , <br /> . .:.�...,._ - .. <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS v ,��(��„� <br /> EVERETT, WASH. Approved By <br /> �c-c.��� l� i47L � <br /> The Undersigned �1 � ��� � J LJ F' � �� Dore Appro�ed <br /> i <br /> Hereby applies for permission to r r A� �T' �y � GX r G' N E y t ' T L' ✓� y`� RELOGRTE E.r�sri�✓: � <br /> srREE r L /G.yr" �,�� �� <br /> At the following location � � ��— � 2 c� � � �'� � !'7� <br /> SKETCH , <br /> lWork to be danel 1 <br /> Nc-�: Li �:;i� Fo�r_ � !, �:F <br /> E3Y, �- !�. I�VJAY �F� rJ. ���,�^�. f6� I <br /> � <br /> ' __- --- - - ---_�__—_ — <br /> , <br /> __ _ -- --- - -_-- . -_ . __ _ _ <br /> `y� ,I <br /> ----— — ��a� _' — --� <br /> � , <br /> -- � - ---------- - ------- --- — L —. _ ' <br /> ,�0 <br /> J <br /> i v p QQ' i <br /> I � P " <br /> v � �q �—"— � � <br /> � <br /> 1�-4D� I � <br />' ' I O I <br /> � . - - <br /> � N , <br /> The undersigned owner hereby agrees io hold and save hormless the City o( Variancc Required <br /> Everett Irom ony ond all daims for damoges that may arise because ol the Yes . . .. . . . .. <br /> installation and moinlenance of the improvement herefo applied (or and Ne <br /> further ogrees to remove same upon notice from the Cily and lo replace a11 <br /> public property damaged thereoy. <br /> // <br /> 1 � <br /> i . <br /> >" .r . .r�� � � � <br /> i <br /> i/���,yl�t� � 7� ...' i <br /> l`1� Signafwe ol Applimnf � . <br /> �Q %�'<ti a,�,;.,.,, g 9 o i�._k:..%�'t.�..�. . . ;�� - <br /> J ;,e�:n,... / / 3 �. ;^v��� 7'� <br /> Ad ess <br /> 337 - � 3 , ,. _ <br /> �: } -. ''' � S �%i . ��<r'J <br /> ielephone Number <br /> �if..� �:� J - .�1� <br /> � <br /> Dale <br /> Inspedo�'s Signolure $ � <br /> r��'� x��[ • <br /> Fee <br /> %/�� _,i�_`CY,(1" iJ ' �%i�/Ji <br /> Dai- <br /> 6[FL APPROVALS <br /> Remarks Engineers -���!�L�.-✓� /i��''�i% <br /> Water_��••�_ T- l0' !7' 71 <br /> — --�-- — Strcet—: . . _ _ ------ -- -- - <br /> '. �.�u�,. . -. _ . _ _. _ . _ <br />