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/ .. <br />� � " - <br />Pe -mit �Jo: :-_, _—c....!_._.:: <br />APFLICATION FOR DRIVEWAY PERMIT <br />everett <br />CITY ENGINEERS f2� \ / �� - ^ <br />��� <br />EVERETT, WASH. Apprq`ed By <br />� � � � / ��/ / �U � 4� 1—l�l �J <br />The Undersigned --��'��t—� �"� �� �_�'"�� �.-��- � f h Date Approved i <br />Hereby applies for permission <br />At the following Iocation�J�' '' /' � �^� ' ` eP �� <br />SKETCH <br />(Work to be done) <br />Q <br />✓,a� W/EC K�� <br />� ,'�,��-� %',� E <br />�/�D,9 D,��,,� y-_ <br />E YE�:�; T� :�INiTY <br />The undersigned owncr hereby ogrees to hold and sovc harmless the City o( <br />Evercll 6om ony and all daims for damages thaf may arisc because o( Ihe <br />inslalloiion and maiMenancc of Ihe improvement hcreto opplied for and <br />ivrther agrees to rcmove same upon notice (rom Ihe City ond to replace all <br />puhlir nm�nrlv rlmm�r�nrl IhnfnE.Y. <br />,,...! 1� �/r� <br />Inspecfor's Signoture <br />��P, <br />���: z�:�� ���,-��� <br />��F'�aX/M�'TELY AC�o: <br />=;:°�rrr ,. "� �.?�FFTr:� <br />— __ _ _ _ _ �- — _ �.eOPOSED F��� ,�r,��,q <br />, ----�— -- -. <br />Variance Required <br />Yes _.__.__.._. .__... <br />No_ ............... _. _ _.... <br />. ,- <br />�_ <br />;-_ /�- � /� �%i < ,s � , , ,�• <br />' Signafure of Applicanl <br />., <br />_,, _ , , ,, <br />Add,e„ ' , , <br />t, _� , <7 ,- --, <br />5 <br />Telephone Number <br />�� —.�--�r. <br />bafe ' <br />Fee <br />DFPT. APPROVAIS <br />