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Permit No. ..' _ _ -.-- ....--;_..... <br /> everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS 6� /� % . <br /> s, <br /> EVERETT, WASH. proved oy <br /> , - . F'y. , - �'i, 1qC�4 <br /> The Undersigned � ' ' � � ; . -.�i, 1•. ' Date Approved � <br /> r. <br /> Hereby applies for permission to 'r:;��•''�a �� , i:� i ; � 5 :. �,+I�',. .,.'�. , <br /> � ^ � <br /> I . �l <br /> Af the following locafion � � �� • ' �' . � <br /> SKETCH <br /> IWork to be donel .� - <br /> ���� o v�,� y .�r ��- �----� <br /> ' � 2D Go.�G. �2�v <br /> 0 0� <br /> 4 Q �/ J� <br /> -- - Cj T/C C � � <br /> G i Ca aJT1 i✓c5� <br /> i <br /> i <br /> � �v� N � � �-. <br /> � <br /> � cY� ,., ?� <br /> 2 � <br /> N <br /> m <br /> - -- -- --- <br /> I ----- - _._ _ _..______ <br /> Thc undersigned owncn c�reby agrces lo hold and save harmless Ihe City of Variance Required <br /> Evcrctt (rom any and oll claims for damagez fhof may arise because of Ihe Yes <br /> . _. ._. . __ _ ._... <br /> installotion and mainlenancc of Ihe improvemenl hcreto applied fur and No_.. <br /> further ogrees to remove same upon notice from fhe Cily and to reploce all -�"����--�-���-� <br /> public properly damaged thereby. <br /> (!cti-a��, 2�z 4/7G • ��`� <br /> �,.� � , <br /> ��� ,.� Signature of Applicanl <br /> � �i A, � I l. <br />' Address <br /> � ��� � i� � <br /> ielephone Number <br /> /.% % { • . <br /> ..��.0 . .�=a� � /�t'-"'�7v�-� Dale <br />� Inspector's Signalure �l- � /���_���J <br /> /-' /// /[{f Fce <br /> Dale <br /> DEPT. APPROVALS <br /> I � _ <br /> Remarks � Engincers^ � "' �� •�-y''� `"-'� <br /> Walcr.� •�'-� <br /> Slreel <br /> . � �'� � .�. � <br /> Cnmm•.!r.ic,^.tionsw ._..� . . . ... <br />