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Permit No. -%2r 3�`..._....... ._ eVE'.1'e� <br /> APPLICATION FC R DRIVEWAY FERMIT <br /> J� � / /, <br /> CITY ENGINEERS /"G`!+/ � f <br /> EVERETT, WASH. � Approved By <br /> ��v`� Z;1��"2=— <br /> The Undersigned �~Y'e d �'/n ti e u h� �t�? Da�e Approved <br /> Hereby applies for permission fo -- - —P-���---/gf�FA ' �` � � ' ' �� �l ���57 — <br /> �� i=',�t� �' �`'�L� e�_1�,% -r' ,r:�s./ �> LfJT,� As,o.✓.4LT <br /> At fhe following location T'►2� �.�, �a.— -- <br /> I <br /> SKETCH � � <br /> IWork to be donel j <br /> � <br /> � � <br /> I i <br /> � 3bA �� 3E�. i 39 <br /> I � <br /> j � <br /> � I <br /> � �—� <br /> i <br /> 1"_ /,�.D� <br /> i <br /> � i 5920 i <br /> � � -- ( � <br /> � , <br /> � � �/G�O/� A �� Tv Gg /�� 1 <br /> � �X/ST.,�,/� � 1 <br /> 1 —f L._ �.�1//r� --- , <br /> cady I�� qd <br /> . � I <br /> The undenigned owner hereby agrees �o hold anJ save harmle�s the City o( Variance Required <br /> Everen irom ony and all claims for damages iha' moy arise becau�e of the Yes _. . ._.. <br /> inslollalion and maintenance of the improvement hereto applied lor and No . . .. <br /> (urlher agrees lo remove same upon notice from •he Ciiy and to rrplace all <br /> nublic properry damoged �hereby. <br /> / ��1 � � <br /> ^i.:'' � ��'.�l- '' L�1LZ'?" 0�� <br /> Signolure ol Applicanl <br /> ��f��J�� ���.' � � �.�-�' '>�'i ������ <br />, Address <br /> ��� — <br /> a i – ;,�. .7' <br /> ielephone Number � <br /> �—� �• � �- <br /> � � �l.C. , Z Dale <br /> Inspacfor'i Signalure — ..t' I t, S �n ��� <br /> !� <br /> Fee <br /> ,�L�s�_� ,��C.C��J �5�,2fj�.. <br /> Dale <br /> DEPT. APPROVALS <br /> i <br /> Ramarks Engineers- � �/2�7 L <br /> Waler ��� ��'L/`/ '1hG �'� Y <br /> Srreel -- - --- .. <br /> Con,mu�irnlioPs_'.�- ---__ -T- <br />