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APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS ���1� �� _ <br />t <br />f C. �_,- <br />EVEREIT, WASH. � Approved By <br />.("��.3 /97 <br />Tfie Undersigned <br />I O� E �.� ��MiiK �.i (.._ L�� M Dale Approvcd <br />i <br />Hereby applies for permission fo ����`� T%k �— A / �( �V I(� E, n�..1 �� 1�.'+�.�. <br />Af the following location �� y� gL� �z ` �� <br />SKETCH <br />IWork to be donel <br />�F�� ,. <br />u- 4 0 � �� i <br />Sf:�A LG � � , <br />u <br />The undersigned owner hereby agmes re hold and save hwmlas Ihe Ciry oi <br />Ere�etl 6om any and all claims tor damoges ihat may a.ife becaufe ol the <br />in�talla�ion and mainlenance of the improvemenl hereto opplied (or and <br />lurlher aproes lo remove �ame upon notice (rom Ihe Cily and to replace all <br />public properly damaged thareby. <br />DRIVEWAY SECTION <br />NO SCALE <br />� � 9 +� <br />jl" LIP � <br />„ <br />I 30'.I. ..3� � <br />r <br />J -� (. " � <br />� A ��- �� �' 7 7�,,�:.��� <br />In�peclor's Sipnafura � ' <br />Sl.'2�" �%1BG:c�U �� -_? '72 <br />Dal� <br />R�mvk� <br />'�j'. .i <br />va��a�« a�q��«a <br />Yes _ <br />No <br />�c�' n ra.Z I�-}c�-. <br />. �� 6[('� s�ct c C. ..�C: �J7,C <br />Signalura ol Applicant <br />y �� �%�G`"lC.� / cd ( / I.Brli'a,.+/ <br />Addrer� 96'i�i e <br />' ,�C �i 5—SG �l <br />Telephona Number <br />Dafa ' <br />/>��'.s- �� ,,: <br />S .� �� ��y_r_ ;!� <br />. - . <br />Fee <br />DCPT. APPROVAlS, <br />� /�i . <br />Engineerx �� —f � � `— <br />Water k n' �- <br />Slrael ` <br />Commonicaliom �"• w•• , ^ -�. ' . . <br />