�
<br /> � ;
<br /> P��m�r r,o. ___ _. everett
<br /> APPLICATION FOR DRIVEWAY PERMIT
<br /> CITY ENG!NEERS ����� �
<br /> EVERETT, WASH. Approved By
<br /> �j �JUivf.�jn � n
<br /> Dole A �oved
<br /> Tfre Undersigned_�� /' y �-� , _ ' _ _ PP -
<br /> , - � �,
<br /> Hereby applies (or permission to % � �� � � ��� _ ��
<br /> Af the following Ixationi= t� ` ��� E` -� . , T - � '`- /. ' ' ` "/ � . l''J.
<br /> SKETCH
<br /> IWork to be donel _
<br /> �
<br /> „ �%'
<br /> � - �
<br /> .
<br /> ,. � .� `�EC ,CUE' t �� �:-
<br /> -- - - — �==..
<br /> '_�'-- -- --__---- —�_-:. —
<br /> -- -- -'--
<br /> � }.--�.� SEE �� Tai� / �o� . — — io�� I
<br /> I ,�ioo
<br /> Li.
<br /> I ti GcNf',�'fIL TEL.E� : ; �Nc F I
<br /> I I
<br /> � Aur� n�Qr�� E� rC ;r� '�" �
<br /> Is I 5=••- - _, .
<br /> � � , I
<br /> � N ! �I
<br /> L_ _ _ - � ;.
<br /> �
<br /> The undcrsigned owner hereby agrees lo hold and savc narmless thc Cily ol Variance Required
<br /> fverell irom any and all daime lor damages thul may miie berause of ii�e Yes ..
<br /> ivlallation and maintenance of ihe improvemen� herelo applied for and � ,- �,�, .� `� ` ,-.��� / �� ��, " " No
<br /> h�rlher ogrees to remove snme upon nolice from Ihe Cily ond lo �eploce all ��f'�,_� � ���� �,t�t'�ti',d f_:'� 'r �.!
<br /> public proper�y damoged thereby. � n. -.'n �,� ,.��,'- F--,` .. ' /
<br /> /� ��/I
<br /> �'�1' �� 1 �.0/� l . ,' . .
<br /> u,-
<br /> -,i ..i tl. ,�i 1. :n-e . .v - ,
<br /> � ��-� `^[ d l.�. -. i% 1 .-r k:'�r ,75ignolurC-ol 11Pp�'S X C . •S't
<br /> `� . �e 73'__--� , ,- . � . .i: ,� , ,,
<br /> ��:1 i�` '-'! 't. / �` /-' � � _
<br /> �: _4.........� _ . add,e:, _
<br /> , ',-,��,,� . ,.�, .-� ,� ., / �
<br /> 1— 5—____—�., �; ., ,,. .
<br /> - ` - ielephonc Numbar
<br /> , _ . ,
<br /> , � ,I .
<br /> . -.,: ' . r= � .. �J_ -__�i 1.. � . . . _�
<br /> 1
<br /> _ - y�, ,.,�
<br /> -� - _ --- � Dale
<br /> In�padoi e Signature —'— `^ `�.I .� .:, �� I(/ ! 1 \ � �jl,c•", .��W. I' '' s ��
<br /> . 1 I \Jr t
<br /> � �
<br /> f//i,^� . I � - - -�� Ic, Fee
<br /> ��r�Y� -
<br /> oa�B y I i ��
<br /> =i _ _-- __ _
<br /> . - • r `.� � _ � DEPT. APPROVALS
<br /> fi±marks Engineerf y��'f��z?' �/�i`�/1��
<br /> Wrinr�- �L' �- �
<br /> — — Slrcet '� --
<br /> . ,..m, ' -,n;. _ ' _ _ . . . .. . _
<br />
|