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APPLICATION FOR DRIVEWAY PERMIT <br /> ,� ��� ,' <br /> CITY EhGINEERS � � �� c .W� , _ <br /> . )v ��..� ,,. <br /> EVERETT, WASFi. Ao roved By <br /> i �f1)l_�_i ���o�l -- <br /> . r�� . �'/ Dote Approved _ <br /> The Undersigned -' -- —�—J� —f <br /> �� � ��`7� �./ _ 1�� <br /> Hereby applies for permission to � — - � -- <br /> AI fhe following bcation�� ✓ "� �f� Sr�� I� J / �� <br /> .,.....,-�._..,.�....�. ._ ., . .. . <br /> SKETCH <br /> fWork to be donel <br /> s_�ti-�- --- ---- y <br /> , l V� 5 <br /> , �_....��..._.�_ .1Z . .. ... .. -..I lL.il...... . � . <br /> �.�. _.�....�....... �1 � . . , <br /> O .,, �' <br /> 'ti ,�; �; <br /> `:T \� , ��--�'--���-- � ,-,- <br /> � ,•o:ti�c. ,�>N.� .�.—�, <br /> � � J , ,, . � <br /> ►, - --- --,--�..._ _��__ ____. ..__ _ ._ -- ____ _ _. <br /> u� �'C - <br /> � = <br /> Thc undcrsigned owner hereby agrces lo hold and save hnrm'ess Ihc City o( Varionce Required <br /> Everett (rom any ond oll cloims lor damages Ihat moy arise because ol �he Yes � <br /> imlallation and mainlenance ol Ihe improvemenf hcre'o opplied for ond No � <br /> further agrers lo �emove same upon nolice Irom the Ci�y and io repince all <br /> public propeny damaged thereby. <br /> ''" ' �;`l`.�d«f,,���ll!((r�, r .___ A„ <br /> Signafure o1APplicanJ ,�„���.. <br /> NOd'Ii�/ri✓7 �� ( � / �, <br /> �L' I:SC N� ".. <br /> dd es�_ ; <br /> i3�_-�,� E �1� rf6'�� • <br /> �- ' <br /> J ; �;� �� �i .37 <br /> '•�� ielephone Number ��. ,S �))� <br /> � _ / <br /> � ��� /t/i�1� �s �%� `/ <br /> oofa <br /> i �'��� n�� � �{ <br /> ��.� - '�� �.._.�.� � - <br /> Inspeclois $ignalure - s <br /> , Fee <br /> . % ,% . , <br /> � — <br /> Dafe <br /> DEPT. APPdOVALS <br /> Remarkt ---�—�-- -- —_--�-- -- [ngineers 1 � � `�" `�— <br /> Waler�-�� /➢-e._t� <br /> Shect— . �, — <br /> -_`— fnmm��nlr,.li.,��v..� ,_. . . -�__ - ._' <br />