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__. ' i�_� . ! 'i <br /> Permif No. . .: ...:..:.:.....:.....:. <br /> � everett <br /> -�, � - <br /> � � <br /> �;; u APPLICATION FOR DRIVEWAY PERMIT <br /> .� N <br /> fs �J <br /> CJ <br /> CITY ENGINEERS <br /> -__ <br /> EVERETT, WASH. � � `� Approved ey <br /> �> ; ) � ,�' � <br /> The Undersigned— S7E VF_ rJ ✓l. �r,J r� ;� i� ! Date A�� <br /> Hereby applies for permission fo—C�r � T. /� !U �l •-�v!�, :_T C +.. <br /> Af the following location � 9��> - �,',�C ': % /.�: '"i- _"7, <br /> �OTE , D�it/ ;3 oN PAci/'/c. HvF. �.-�, . �� ;_i ; �:��'�1�/ , I� . � � :; ln � � <br /> SKE7CH <br /> IWork to be donel , � � --,� p�i 'T -' <br /> /,, 4 . <br /> Q— � <br /> _____.__ ._ . ._ " -" _'- �lneD�Ni RAMP � <br /> t�.— <br /> � ' <br /> p ���y - 11� <br /> m � <br /> F'Pc1_'I.0 �.pT � <br /> �— _—� <br /> ilo' <br /> I <br /> � <br /> � u <br /> '� ' _—____'.__. ��o_ '.'___.._ > . <br /> �.�_ <br /> �� <br /> Q <br /> � � (� � <br /> —___'_'_ ______'_ . . � 1 _. . . ' <br /> The unCersigned owner hereby agrees to hold and eave harmless the City of Variance Required � <br /> EvereO (rom any and oll daims (or domages that may arise becaufe of Ihe yef , <br /> . .._. __..... <br /> inslallalion and mainlenance of �he improvement herelo applied lor and No . <br /> iurther agrees to remove :ame upon notice (rom the City and to replace all �� �� -���-�--'---� <br /> public properly damaged Ihereby. <br /> DRiynwi�at. .::S�CiIOM , �() l:� <br /> (NA'-�SC71LC) . , . . % / <br /> Signalure :1 Applicanf <br /> Tlo�i �~ , , ;�' <br /> 1�� I Address ' <br /> ielephone Number <br /> Dafa <br /> � <br /> .. ... I�tpeclor's Signaluro ; , � ��i <br /> i � � <br /> Fea <br /> S/Til' �/'�f.!'k'f_� ��,3 - 7� <br />� Dofa <br />�' � DFPT. APPROV L� <br /> Ramark: Engine 3��� <br /> Woler�C'1 �r . �J. ':�l by. .. � <br /> SireN <br /> - . . . . --�----' <br /> -'-�-- - <br />. _ . ._ . �Jnng,Lutin� ._�_ � , <br />