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Permit No.�� _ �� <br />_ - - <br />APPLICATION FOR DR{VEWAY PERMIT <br />evereh <br />CITY ENGINEEP.S __ �� ���L � <br />[VERETT, WASH. —�' Appmved By <br />�iPi���....zS /97 � <br />Thc Undersigned <br />N��� O �)C� T�. � �_ Dote Approved <br />Hereby applies for permission <br />f� <br />�'�4Pi�r/l �n/ LiTY F�iGNr—�F—l�.S�4 <br />Af the following locotion � � �5 ����Av �A Y __ ___. <br />SKETCH <br />(Work to be donel <br />UD Sc.A � 6 ` <br />"�. <br />q ,` <br />� ,, s �re�� .. <br />i !' <br />c+ <br />Fxrsr, d�w <br />� f'+'.ek'oSE!� � <br />k � � <br />� '6Lol� <br />��� , <br />aoO�E.D � u45r.F±f�/1 C- � <br />S20Apl, 7A•d <br />The undersigned owner hereby agrees lo hold and save hormless the City of <br />Evc�etl from any nnd all daims for damages that may arise because of Ihc <br />installa�ion and mainlenancc oi the improvemenl herefo aoplied for and <br />further ag�ees to remove same upon nolice (rom the Cily and ro replace all <br />public property damaged thereSy. <br />DRIVEWAY SECTION <br />NO SCALE - <br />� <br />-//- I�� ��-� <br />/ /���" 7' ✓. <br />_�/%.� C%�i`.C.c:(!�' 'y -/�i��> <br />Date <br />Remorks <br />� <br />r <br />� �� l�f,U l�sc9/J/rL' � 7"D PE <br />/� ON PRIuATE �r?oPG=� <br />� C'oN7�AcT /s �ET' <br />;�"��!,� <br />�NisT. q�w <br />F ��.': <br />V ..: <br />S�DFW ':-�7; � <br />� u�Y� <br />[�KET/o�/ �� � . <br />`ie R. :Sf i� ,- � � ; <br />41 <br />i <br />Variance kequired <br />Yes . . . . .... <br />No <br />�- <br />W <br />L� <br />� <br />> <br />w <br />�i�%. / - <br />Signafure of Applicant � <br />7 SG L ,:'� � �' �; <br />Address <br />�'� '-�9 _. : ; � _ ; i <br />ielephone Number <br />oore <br />S p, r ; , <br />,1 <br />`� : Fee <br />i '•. }�.: C , <br />L/-i s- �� <br />. ;;'pEPT.�PROVALS , <br />' f� / / <br />Engineen .:'��/�'�e�t` 1 _/�..,.,`, <br />Water� *���-� 4-/ F- il <br />Slrccl �t!..u. �:' / -'.•: -- - - - - <br />C,.mm�....._,lo^r _ . _ . . � . <br />