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- - ---� <br /> �, : - <br /> , <br /> P��m�r r,o. �, _ __ --- -- : -; : everett <br /> - .... <br /> �PPL►,CATION FOR QRIVEWAY PERMIT <br /> � <br /> t. <br /> . � i <br /> CITY ENGINEERS �, �1 '' ��y % <br /> 1 <br /> EVCRETT, WASH. — Approvcd 0� <br /> ��vE.�-�R.�.�� � /9� ; : <br /> The Undersigned � �`' �� � n N D S C" A � f �'. !— Date Approved " <br /> Hereby applies for permission to ��! �r�T R N o r,o;� _� !1 F '%^'��:" �_� T�'�^ i '� _ � (�F�1 r r� �% S�✓�/ � <br /> i <br /> At the following location ! ?2—�'�-_ ��%�: � '�' U "���� Y I <br /> SKETCH <br /> (Work to be done) <br /> I i -- _ . <br /> �— <br /> 1 <br /> �. <br /> � � <br /> � � <br /> ��� <br /> _L <br /> , r,{) 61 � � N rn <br /> ---__�. - j .� -,-- ; <br /> ,•�: yr; <br /> ; <br /> 20' ' <br /> � .. F.��? � I ': <br /> � r' 1 " 3n' z ' i� j, f 24 <br /> . .... . .._-l1 �`:h� ��' • <br /> - �___ _ .� � - 1=_ �� <br /> PSr. t'cs[6 1'LAN"fltv'= Fh�.- , :,i:. <br /> .. , � �. Uf�l_`'�,.-�;�,- " <br /> The undersigned owner hemby agrces lo hold and save harmless ihe Cify oF Varionce Required <br /> Everett from any and all cloims for damages 1ha1 may arise because of the Yes <br /> inslallation and maintenance o( the improvement hereto opplied for and hlo <br /> (urlher aQrees le remove same upon noiice from the Cily and lo replace oll - � �� ��-�� ��-�- � <br /> public property damaged thereby. <br /> t , <br /> �` iL�i•vn�I ��� !' '. �. <br /> Signofure of Applicant <br /> .1`f T .�'--.���� 1 . <br /> 'n� �. k��� Address . '.' <br /> � . . , / <br /> �-3'r'I'- !—_ <br /> 7elephone Number <br /> <j'I._� ��(v/JO <br /> Date <br /> Incpecfor's Signafure $ ��� C� 1=' <br /> / L� <br /> �%� %� Fee <br /> _�,;T,�= � ..�/_=C:it, -'i� ' .'� ',), <br /> Dale <br /> Df:PT. APPROVALS <br /> Remarks , -- .--. ,'y=�'���� <br /> �/� <br /> Engincers�a���.r--- :'"�i�: <br /> Waler .' ', ' — <br /> . . __ _ —._ $irr,cl ��� , f`-.l . � .'.1. _r 't-_— <br /> � _.n:- �.. �'�irr._ . <br />