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_�� ._ <br />• ��� . �-- ' �/` <br />Permd No. , ---_.:..._.__ .... <br />APPLICATION FOR DRIVEWAY PERMIT <br />everett <br />�. �.. <br />CITY ENGINEERS _� G� � � � _ <br />EVERETT, WASH. Approved ey <br />�'•vy .23�. �Q7�. <br />The Undersigred� C � i- i F"� � AN.'7 Date Approved <br />Hereby opplies for permission to C 0�.5T A �7�/ 57"ANDA 2 D S�L� l�El�f�� r-� x, S 7 ���' <br />,�1 LLFy ,a pp;z oi� /J- �NSTA�L NC-cJ CuRB • <br />At the following lomtion � G//- !3 iZ0 � C VJ p Y R�' M STD�F <br />SKETCH <br />lWork to be donel <br />�EX/ST/NG �- � <br />D�yy r �, <br />�� ��,. <br />0 <br />� d �. �EQ QN <br />b ►� n P� ry�,�.f.,, <br />L � �f K q1 �1 <br />' .4 � � <br />�� t�� L L F_ \� v.�: ': :��-tt, <br />���z �� 5�`"1 ' �?v , <br />�e l'� <br />�� 1��� tt` y oF : ,. <br />� �\� a� <br />- �e —� <br />., , :: �_� , , �-,_ __ <br />�,. <br />s, �,�a� <br />r �h <br />fl <br />��i <br />/_�� � n H L� L11 '9 <br />The undcrsigned owner hereby agrees lo hold and save harmleis the City of <br />Evere�t from ony and all claims lor damages that may orise because of the <br />ins�allation and mainlenonce of the improvemenl hereto applied for and <br />further agiees ro remove some upon notice from the Ciry ond to replace all <br />public properfy damaged thereby. <br />��'�v+r <br />i ���/� <br />� � � �v� l �i .,7�?� � `�� '% �-� <br />Inspedor's Signalufe <br />�i,—i= C��c:c—cU �.2�'lL <br />Dafe <br />Variance Required <br />Yes <br />No <br />' �Z`%J � _�-,� � . <br />� Signafure ol Applicanf <br />:� /� <br />.;iJX C�S_.cCi'. I �.�1��1:� ' <br />ada,ef� <br />�L i- i/9� <br />ielephone Number <br />5-1G—'7z— <br />Dale <br />s �/0 �f�� �.- <br />Fee <br />DFPi..APPP,GVA�L$. <br />Enginecri -_ -/�I � ��.>.s� `��.V /"%L <br />Watcr �'.��` C 7. [r_ ; �+ � 7 <br />Sim�'--_—__'— _ . _.-_ ._— . <br />