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Permit No. .l. .�.��.%.. '� <br /> everett <br /> APPLfCATiON FOR DRIVEWAY PERMIT <br /> CIN ENGINEERS <br /> EVERETT, WASH. Approved ey � <br /> The Under�igned � L- �'� ��C Oare Approved <br /> Hereby applies for permission fo ��1 S7 A C.. L LA t��S c.At Pt rd� p'd�l G1T� ��. �`_ <br /> Af fhe following location 2-� -! `� g`-� ��� <br /> SKETCH �- � <br /> fWork to be donel �eTs y 4�v <br /> �e �"' - - <br /> � No icn�.E I� <br /> I � <br /> � <br /> a 2�°`l <br /> s <br />_ � <br /> N <br /> / LAn�escHp�N c <br /> ,.�- ----"'�'ar^ <br /> �.__...` p+�a►uu� � s�aEwq��c <br /> �J(v� S-r rL�r t <br /> ..— _ — �-- 'YD <br /> G s��.�3 y �v E <br /> , <br /> * �_____..�. <br /> � , <br /> Thc undersigned owner hereby agrecs to hold and sa��e harml:ss �he City oi � Variance Required <br /> Everetl !rom any and all claims for domages thal may arise becaose of the �1 � ' Yes.. � <br /> _ ___.._._......... <br /> installa�ion and mointenance of thc improvemenl hereto applied (or and No <br /> further agrees to remove some upon notice from the Cily and ro replacc all ' -���� ��������"'�'"""'�' <br /> public proper�y damaged ihereby. � �� ` <br /> DRIVEWAY SECTION �� <br /> NO SCALE� ^ <br /> Signalure o/ Applicanf <br /> � <br /> �� <br /> I�� W <br /> Addresi <br /> 30" 30" <br /> ..^' <br /> ��� .. <br /> Telephone Number <br /> �f <br /> Dale <br /> Intpeclori Signalure � �p ���- <br /> ,/� Fee <br /> FE't�J � L 3-R �� <br /> Date <br /> i � DEPi. APPROVALS <br /> Remorks Engineers - . <br /> Waler ,� � i7C�.t.•c` <br /> �_ , <br /> StreU-�- ��' ' - � <br /> �emm�.�nicaticnt�_.�,��_1 . ._ <br />