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% j ` 1 'r-- <br />Permit No.�._L'—..� � <br />CITY ENGINEERS <br />EVERETT, WASH. <br />.� ,� , <br />The Undersigned ' -�' `''��'��'�' <br />APPLICATION FOR DRIVEWAY PERMIT <br />u <br />everett <br />Approved By <br />Date npproved <br />Hr.reby applies for permission to ��'�� -` ' `- � , �1�;%?'✓/•- l� - 'Ji%'' � TP� F� . _ <br />At the following location �`` /�S - '�' ' �'-� �>l�.t/ ��. ���`= <br />SKETCH <br />IWork to b <br />� <br />— �� <br />------._1 = <br />ti <br />�� <br />8�0.4 .t� <br />l'Z ..,r' <br />a � ��Y <br />-t <br />ST�2E�'T_L / [_.• N; ; r!� :� <br />y� C6� 5�. GLIT �nJTb ^lu �.�.._ <br />W,�l Y <br />The undersigned owncn c�reby agrees to hold and save harmless the Ciry of <br />Everett from any and all claims for damages that may arize because of Ihe <br />insfallalion and maintenance of fhe improvement hemto applied for and <br />further agrees to remove same upon notice irom Ihe City ond to replace oll <br />pubGc property damoged Ihereby. ' <br />Inspedoi s Signalure <br />� <br />Dale <br />- � , � __ <br />�marks " <br />Variance Required <br />r� <br />Yes............___.__..... 2 �., i rx <br />No ......... . .... _...... _.... <br />//J /.•' Lh a�' -;/.'< .. 1. � t , �� � 1f,�' L :: <br />' t3c, ;, , ,,.t ;. ;,.. <br />C"/ /[r�%':6'Y.f G���f 1//1 i i Gi'.i <br />�_��/.�� . /j%c-yc�"w, �-.. _ � <br />`- Signalur�' ol Applicanf ' <br />� 5`� ��" �i I' c� A � L A�,l <br />ddr ss <br />�5 s`' / 3 'y 1 <br />Teh�phone Number <br />�:���` a�. i ��� i <br />— �a�e <br />$ <br />Fee <br />DEPT. APPROVALS <br />Enginecrs — <br />Waler � v 3-=-- <br />Slrecl /' , 1. ,/., ,t .. / �--- <br />Cri�mnnlrillcn�_'_'_ ' - _. . <br />_ " — � <br />