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- -, <br /> _- ,, <br /> Permit No. ... ._....' _ . CVeCeK <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> , <br /> ;; ; <br /> u �, <br /> �, n� / / <br /> CITY ENGINEERS �. –���'G��y <br /> EVERETT, WASH. Approved By <br /> ��.✓vAR y ii ���'- <br /> The Undersigned_�—� � • � - __ Dot� Approved <br /> Hereby applies {or permission fo ! ��' "�' <+ / ' '� `�'r��j "� %!1� <br /> At the following location �'/`> ' A t� ��' i �� �. � <br /> SKETCH �� �. –' � f-� I � � � �- h�N � � J I A� E .J <br /> IWork to be donel � <br /> _ _ _. _T �--- 22-� <br /> \ <br /> � � � <br /> � �� <br /> � <br /> i <br /> , ! f ,I <br /> , <br /> � J �, <br /> � � , , <br /> _ ,- � <br /> ��� �e' <br /> �� .r-=_�---�� ��� a / , <br /> __������ V ` V _ _,....-"� . <br /> � � � �.. n�, <br /> I \ . <br /> (� � �- �� i <br /> �t Q ; � <br /> J�_--------_, / '�, \\ i <br /> ____ � \ <br /> � �, ' <br /> �I <br /> The undersigned ownen c�reby agree� lo hold anfQave hormless Ihc Cily of 1 Vorionce Required <br /> Everelt (rom an� and all daims lor damages Iha� ma�isc because of Ihe \ Yes . . <br /> insfallalion and moinlenancc o( Ihe improvemenl herelo(Cpplied for and . No <br /> furlher agrees ic �emove same upen no�ice from the City a�id�(o�replace all '!��'� � <br /> public properly c amaged Ihereby. � S� <br /> ..._.___.._. .� ._. . . . ...:: , . �JN �"._"_ '_,_' <br /> . __._ --�-----. - ���..� • . <br /> 1 ��i1i� ' .. ;• t; (1 i� �.:5 � SC1L[� _ .�. �' � <br /> 1 . ._ _ � • i 1` . i •' �'� .! i.� <br /> i c! <br /> . . . _ "�... .. . .� S � Signalure o( Appl�'l�nl <br /> .� � / <br /> ' <br /> 3 ,� . .,- . ' / <br /> : ' . . . . . . . . . . , _ __ . . . ' * , ( �*i� <br /> � . . . . .. . -. ...... . i . '.�..I i � , � <br /> . _ ...._.. � <br /> . �\JH r' . . _. 1 <br /> �E i- .. . . t ._ . . ..�.... ._ j.....t. �1. .. ' � � �, .. .. . . . .. . i Addre�s <br /> -... _.. . ..� - . <br /> � . � -t . -."'-. � <br /> � w. . ....... . .._..__...__.� �------ i ; i � � . � -, . .,•. ��:, �=/ <br /> ...._ -- ----,i �.� _ <br /> •' ielophone Number <br /> � .._. . _ . . � . � � . . ) <br /> - �-- � <br /> ... _. .. _ .— <br /> i. <br /> . ..._. ...—...'_--- �--- � - .� / <br /> Dafo <br /> _ 5 _ c !_ , .� . <br /> Inspedor's Signalurc — <br /> /�� h � F�n <br /> , S�r.� �%�c�c�c'��� _ <br /> Dale <br /> DCPT. APPP.OVAL•� � <br /> ✓ <`1�1/ <br /> - -- �1����� �� <br /> Remarks Enginccrs „ <br /> i * <br /> Wa�er - ;t.�/;. �:,r,.: <br /> Sheet— — <br /> G:nP[ ,_._..,�D.,i .'.'_ -. . . _ '. .. <br />