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Permit No. _ :- __ _-�. ..�.^.�~ <br /> everett <br /> APPLICAifION FOR DRIVEWAY PERMIT <br /> Q7Y ENGINEERS � `� <br /> ` <br /> EVERETT, WASH. A oved ey <br /> !/ n/ C ��. , �qZ� <br /> The Undersigned r� �/�" ,t � TE/I�I P�E/✓,�/r Date Approved <br /> Hereby applies for permission to C��✓s r ��QQ J�' r�PS <� � '�f`/ /�'%y' "r�'�'�l7 _ <br /> �' � • .� . � �Qs S'f��Gt,�/✓ <br /> 1 �, /� <br /> At the following location � 9��L/ �.�c��`/�''�i�y <br /> SKETCH — <br /> (Work to be donel <br /> 14 <br /> I <br /> 1s � <br /> , <br /> f 2, � <br /> ��`� �� , p <br /> � ' � <br /> �c.4�vrrN�'` A ,eEA E: Q <br /> �� <br /> s c�r FEn�cE' r� �r� � <br /> .P�r_ .�.' nF/- � <br /> '� /;,!irV��AY` V C,1 .Si0�.1'. �'._�.; � Q <br /> ������'����' � ���� � <br /> _ _ ----- __ _._ _ e � Q � <br /> /5 �//G.�1 STA/.£'.5, .. ,,� ' .:' : )^r'�- � �L <br /> _F,+'TENOEDNAN�7r_.. � :<�/ !✓, . 't:, : _�='�. 1� <br /> �� � <br /> w� c. � srRE� T � .� , <br /> ___-__ _ - � I <br /> � <br /> The undersigned owner hereby ogrees fo hold and save harmless the Cify of Variance Reqvired <br /> Evemtt {rom any and all daims for damages that may arise bemuse of B�e Yet......._...._...._. <br /> inslallation ond maintenance of the improvemenf hereto opplied for and <br /> further agrees ro remove some upon notice from the City and to replace all No..._...._......._._ . . . <br /> public property damaged thereby. / i <br /> n <br /> ,� <br /> NdTE.' /, T pr ;� ; j ~r�C �l`%-- 'C<', , / ,i_ <br /> SLd T F��G� /Q C�G :���i � 'J� �� ,' i9nalure ol 9PPlicanl ' . <br /> � � Y��� C) i , Y =� � . <br /> /����� ��� " Address� � ��� <br /> �J�'/���'7G /�'v ��.1.A--�,"tr�+',9 '�'6; � � - . % <br /> .,_.,rTL I ,��/% �— <br /> .`S/. ��7C " } ielephone Number <br /> �//a`/ � <br /> yl%•3I•��� ���f-�: .�/,�/��, <br /> Dole <br /> Inspecfor's Signolure $ <br /> �/f�'LC7 �i�#'iG'i[/Ll� `��/70 �'�3/:i �ee <br /> Date <br /> DEPT. APPROVALS <br /> . ,� <br /> Remarks Enginee , "� 3/'l / C� <br /> Wutcr ' ' k � . . <br /> ..f.. <br /> _ ..__— '_—____—' __— —__— .��,.,.I _ _'_'—�c__��. _' —_—_ � <br />