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�+ • �j <br /> �� r�� <br /> Permit n=o. .... .�..._. everett <br /> I .�PPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS �---:�'d.y�l��1' <br />� EVERETT, WASH. APProved By <br /> f�.3.4v�� i-�i47.3 <br /> The Undersigned �v ��� �2 SS �21 NT i ltJ C+ Date Approved }' <br /> Hereby opplies for permission to I 1J57A c...�-- _ A CO/✓CRF_ TF` ��'rR. U�CJ fL//�._ _ _ _ <br /> At the following locafion �q"3 � 82oADl�J R y <br /> SKETCH <br /> (Work to be donel <br /> - ------- ..__ ..__ __�_ r— <br /> ------ Carac. c_x�¢�nF� i, <br /> Cua rS <br />' -,.,.�-�� � i <br /> ; � � � ` <br /> £x�s7, ,� 5� � <br /> / GPENi� I <br /> B LK 8l� BLDC�. � � <br /> I�EUI I <br /> Anv�; r ; <br /> � i <br /> �'' � i <br /> ;.�: � <br /> _. / I <br /> ; <br /> ;�; <br />� _____ ____---___---- -- ----�...�� � ` __ <br /> , <br /> p�R-o�ow�.�-r <br /> The undersigncd owner hereby agrees b hold and save harmless the Cify oF � � Varionce Required <br /> Everetl from any and all cloims tor damages thot may arise because of the , I .. ._ .. <br /> � Yes.____._ _._. <br /> inslallalion and mainlenance of Ibe improvement hereto applicd for and �. No.._. . .. . ... <br /> furfher agrees to remove same upon nolice {rom Ihe City and to replace ail � <br /> public property damaged ihereby. \ <br /> .� <br /> � DRIVEWAY SECTION � .�� , �� ',.: �, '- ��'_ <br /> � SCALE� � N Signafure ol Appliconl _ <br /> � N <br /> ,. .l ) I • -��� �,� /,i> - .,,.,��;,,:� �� <br /> I �LI P - ��f ! � <br /> Address <br /> �3°'� 'I=3° '� � /� <br /> ''� tl�' <br /> Telephone Number <br /> �'�, V <br /> _ C�,� Dor� <br /> ` 1Il <br /> ln:pecfor's Signalure � .I \ s N a� -�'cL= <br /> 1 <br /> Fee <br /> �ii� C.5%ECK6�/ ,2-�-:73 4,'��'v („ti <br /> eaie <br /> ;�- ; -r � <br /> ��rL� � DEPT. APPRQVALS <br /> i <br /> Remarks Engineer �Y-'�' ��R�7� <br /> Waler.—;.__� T '� —/_3 — �� <br /> Strccl --'r.�(: 7�.C,�z- d�� <br /> Commvmcntion� ��"V-"�'�"�"'�""�� <br /> r. ' ,A"- ' <br />