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Permit No. ��1 ..:-.: ' � -' <br /> -. - everett <br /> APPLICATION FOR URIVEWAY PERMIT <br /> CiiV ENGINEERS <br /> EVERETT, 1N.4iH. Appro�ed By <br /> Thr. U�dersigned �4�F��� � � ', -�-=-'`.L�----'_ ` `—�--�'-�_---`- ----- � Doie Approved —__ <br /> r <br /> +ierehy applies (or permission toL__�:-�— H %%`� � �) � L`��.�2: ' '. ' '�• � c. r �r�� --- <br /> � <br /> _ I:> � , � � � , G->r:'r t �F-I�,;A-�� ---------- <br /> � <br /> Af fhe following locafion�?�� GAS I /VLl � �=� � � �-��____ _ _ <br /> SKETCH — — �---------- — <br /> _ . . _ <br /> � <br /> IWork to he donel - � � � > <br /> , <br /> �j I---- - -- -- <br /> � � S <br /> ' I � CNuh«� at.n,: <br /> I <br /> � <br /> I � , ._y... .. . ._—_ �__.__. _ <br /> I I 'I li, \ �n <br /> ` :�c:n� r <br /> _ __ . _ -_ \ <br /> �� � <br /> � / <br /> � I <br /> l�j � , � <br /> (11 1 I <br /> � r �. <br /> f.l 'r <br /> v �� • <br /> C , «k ,� <br /> \ �NSTAl.1. i 7. Gv�J6�i.'� <br /> `'� PIPs F��� �w� ou�rL <br /> � � <br /> \� � Y�PG A /uD �-+�nirste.N�4 <br /> �`� � �}�- �/ �,'�, .� ..�.. � i . I � . .� S `.�-a j W1TW Ca�fiT �L ..�,t�N <br /> - -_ _ ._ _ _. ___ _ _'_.. . � �f . . __._ . .__ — . .I.-1���.���ryGg o <br /> �• <br /> . O PR Pf[ �'•/ N GqU e <br /> , ._ _ _. . .- _ .. . <br /> � _ .._A __._. <br /> - / , �. : � _ 2� <br /> uazrn..� exrauoEn c• �aw � D1.' " �, , <br /> -- — .f3�ROc'Rin/G bC�Ul.sl.�qyt r: <br /> :A :: I t� t,'-. . <br /> The undersigned owner hereby agmcs to hold and m�e harmless the City o( I Vmiancc Required <br /> Everelt (rom o�y and all claims lor dam�ges thal may orise becousc ol Ihe � Yes <br /> instollotion ond moinlenancc of the imp�ovemenl herelo applicd for �nd � No <br /> further agrces ro •emove same upon notice lrom ihe Ci�y and to replare all � � <br /> public property damaged �here6y. . ; � ' <br /> � � �, I � � ' - ��" a� --1��•_ <br /> � �� ' � �I � . I � � , <br /> DRIVEWAY SECTION J � ` � <br /> NoiS�AAn7�J _y /�l/ , ' Signalure o1 Appliconl <br /> � 2.� ' .'_ __ � ' �I , <br /> � i � <br /> I" LIP � � ✓ - <br /> 30" I 30" I , ",� /� ' , �� Avd���s <br /> �T' '� 6� 'l� �1 <br /> � 41 ^ 1 <br /> �� J��� `.-� Telephone Number <br /> _� . . ,� � �;,.1�1� � . <br /> /�, Dafa <br /> Impecfor'i $ipnafure � � ��.\}" s � - r� <br /> \. � s- L . 1�� �_ L <br /> , 1�L, , <br /> '� ' � F« <br /> . 1`<< �5 . , }� ��. <br /> Dala `; , ;�i� � ��: _ 3- 7L- <br /> DfP7. APPROVAlS <br /> Ramarks <br /> Engineen <br /> Waler--�.�.�. �� T /!' - !Sj, 7�. <br /> '___ Strcel_ � ' � '� = ,�,` ' � <br /> Commun�rnliant_,:.�_'_` •. '- �._�; <br />