|
Permif No. � �" . ..... _ ./~
<br /> everett
<br /> APPLICATION FOR DRIVEWAY PERMIT
<br /> CITY ENGINEERS .' ^
<br /> c /
<br /> � ���
<br /> EVERETT, WASH. ��� Approved By
<br /> .� � � � �TORE_�c? ,� ��7I_
<br /> The Undersigned___s!_L_-L!'� � �,T i=-�-J ��G��� �.�✓� `��� � Ua1e Approved
<br /> _,^,� � _ o t ' ,(.�.� �� ' _ �'6 S !t/ .;i/ ,f"�c'f.�%�f 6/�'%�' � '�'i'� �
<br /> Herebp applies for permission io �== �-� �
<br /> G���'.� , � .�r_�� v,vc_ ,ui'�;a
<br /> ;
<br /> Af the (ollowing location �� �+^ ��� —
<br /> SKETCH
<br /> IWork fo be donel
<br /> G�/NiF C:J�1G C:/.['� yE�.��F. ,-,,��, �, ,Tr„ �
<br /> ,
<br /> 86 T" ST. S N! � �'
<br /> - --- - ------ ----------- -'
<br /> ---- ' '.i _�.
<br /> � G/rAL�GL GRA✓tG ---' '���
<br /> IOD ���
<br /> � o ,� � �
<br /> p�R� �t� r�"J�� �� l�l �I �oTc- �
<br /> � �n ,�OR DRA�n�AG E, JEG
<br /> I 175 P�'(��L� �����F. '� -c suvFo�r' c,�ti�rE. I /'E,,'� >!T R�i<�
<br /> G �, c�� �
<br /> I ,� I
<br /> ,:.
<br /> I.._.� -- — 3 --- —
<br /> `' _J
<br /> v�.w.� �e✓ c,eei�
<br /> Thc undersigned owner hereby agrees lo hold and save horrnless �he Cily of Vo�iance RequirPd
<br /> Everelf from eny ond all claims br damages ihat may arise 6ecause ol Ihe Ves
<br /> inslallalian ond mainlenance of Ihe improvement herelo applied lor and No
<br /> lurlhe� ogrees �o remove same upon no�ice (rom Ihe Cily ond to reploce all l;y , 7
<br /> pu6lic properiy damaged Ihereby.
<br /> .'J� �..�,/,�, , . ,. . . .
<br /> . . —.��4" �.r�vf� -, �
<br /> .LAr�O��
<br /> I d � ' ';
<br /> e �M - �,�, ; �L Signalure ol Applimnl
<br /> ---�-T GeM-TLc c�R.p .
<br /> I o I s00• /20 7D� M.C.
<br /> ° Addrets
<br /> ` h': .. _ w�. ,} �..�� ELOc, ONI�� S��TE L'fe
<br /> I- 6cu.Ev�c ,w�sN. 9aoo�
<br /> Telnphone Numbe� ('irL�J'����
<br /> �1'_c � � / ' < 'i;
<br /> , . , .. . . � O �n,'bS�. 'L� 1'770
<br /> Dafe � , ,� ;' .�.
<br /> . . .�-7 . ,i . .
<br /> Insperfor'f Signolure � ���_�-- E �.�� �' '"-...
<br /> .�/TL� ��YG�CXE/) 7/ ' O fee
<br /> Date
<br /> D[PT. �PPP.OVALS
<br /> �, � I /
<br /> Remnrks — ------_��-_- -- � En�incets-�����'/�/2 ��/1C
<br /> Wuler
<br /> _ Slreel_.�rit�=:/" •.o.J i. r -'l�-�
<br /> �
<br /> �..... ._.�._,:��,,.,,_ - .- .—_-_
<br />
|