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Permit Nu:, _�...�. .. <br /> everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> �k� F�l/sll <br /> CITY ENGINEERS �� _ ���� <br /> EVERETT, WASH. Approved By <br /> �- '_/C/N� /..7 /�7'/ <br /> The Undersigned � �' � �� � � � �-. � � � f E �ER�71- GNAP_TFK =� -�STFN1 � Daie App oved _ <br /> Hereby applies for permission to�TAnF A,N D G npvEL(1 ;�N � '- 1' !1 � �� "'' � /9iE�E.4 <br /> 24 'h� //9 FaR P�,�s�-o .�s�,2tc%vG <br /> At the (ollowing location_ � �� �' CEDf� Y� ST. _ <br /> SKETCH <br /> (Work fo be done) <br /> � ( f �`. �- �, <br /> . <br /> .� N�Q��Qosa(f <br /> ��i - - _ _ _— <br /> QP ;'' �, _ <br /> ' �;j�� <br /> ---- , -- - <br /> �_ to . _,,._. <br /> n q , " � I <br /> p p q I <br /> I !� , i <br /> � <br /> Q -----j�,T � i <br /> GKADi'� /`� - I <br /> �4J.r f. � /., i i' u . .� � _ ,�f1 '. i <br /> . r�, 4 r 1 .� ^f ,l 6 I In <br /> � il) .n - ,� a . <br /> � _ — '__�_n '_��_ <br /> � �`v <br /> � � <br /> � <br /> � RoP� is n�� p h i <br /> � � . , i <br /> Cnn��� .--f�. . <br /> z • <br /> �� � I <br /> E--dL'—i-=-�-- �__ ----- -- — -... �_ _ i <br /> � � .� _ _ _ csricner'ar_� ,�,y, � <br /> �'l� �•�v,d� Rh7p'neri � I_.l I� ' <br /> _.___ . . _ I I _ _ <br /> The undersigned owner hereby •igrees lo hold and save harmless Ihe City o( Variance Reqcired � ,, <br /> Everell 6om any and all claim� for damage� thal may arise becauec ol Ihc Ycs /�, <br /> inslollation and main�enancs of the improvement hereto applied lor and No <br /> furlher agrees lo ranove same upon notice from the Cily and �o �eplace all '�fl�� � � � <br /> public properly damoged thereby. <br /> � <br /> /i (( � �' I <br /> / VO�e �(J� TO T�� C ONC7�ST�'U R9RK/N� Sighalure ol Applicanl <br /> /N TH�' ..a7Jf3✓EcT ,qRE.�,�, y9�,a/�O✓yG /S - ', �, i�: <br /> add,e:: <br /> C�l r/�N TD Co�v�T•c:tJ�; .•<� i��'1�^• -`,�_' ; ' � � � , <br /> P9��//tl�j ��/� (�/y �/%r /�O"� � vT/L/ZC ielephone Number <br />� �S�li�lE GWT/L S(/rh� T�M�`-' Tf/NT T/f� C/TyDEFM.� " � ' <br /> iT ti.���^.�ss��r�y�-p►cTor� i�t,�'�'?OV'�rY�T�-�rf�,a �-ra-cJ o� � I / t ��'e 1 <br />' In�peclor'i Signafurs �C ��Ti[..•iG / .4� 'V C� / v / ' �/�/�'�"l��.. �.�J' S �V ( ' f'- (-- <br /> cq�Js��v%� � �/a zHr��l� <br /> �/Ti2 �H/F.C%.Ce�'"/) —`��' '�� � Fee <br /> Dale � �/ C�- � {l".. �CI�-� � . . <br /> � . , <br /> , � � ��'—� i� •� DEPT. APPROVALS <br /> ,/, <br /> Ramarkt Enginee�s i� �/ , � i(' �Z <br /> �'�' �'C Waler � �c.�..s-. <br /> Slreel � <br /> Cnmmunirnlia�• � • � . _ ___. _. ___. .. .. �_ ✓ <br />