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Permit No. l?�.._J �� everett <br /> -...�...---- <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS � <br /> EVERETT, WASH. � Approved By <br /> �/- 8� 7� <br /> The Undersigned L t r.�i,�k UJ�1 's� Daic Approved <br /> Hereby applies for permission to ��1`'TA�LL f'a 2.T��31,� .`J�.A! +��t.. �" ''� <br /> At the following lowtion 2'R � � ��Z-'��� ��� <br /> SKETCH <br /> (Wark to be donel �O-s�E- : SEF (>E2►,^�T <br /> No �2 -/22 �oR Pl-Av�'r���- <br /> `�CA�b <br /> SoX bN xtdcr�-��2 <br /> � ��� �A �ri <br /> A�y <br /> F � potzrA94� pt.ANn�z �Ov <br /> �- RE�c�ArEa �f�ow ZSt(o Ra=KEr�ELLE� <br /> � - - - - — ---- - ---_—_ <br /> ._. —_._--�------- <br /> � _--__ - — -_�_- :- , <br /> 1_\C�H�'���G 4'y ./ ._-_ -- �UtzB <br /> � <br /> C�o►`eMl�r�ienT�ov�S ��, 3ti ��1 <br /> c_.oe..,G�i!�,- � <br /> �._�L�L��/ ` ��8 <br /> Thc undenigned owner hereby agree: ro hold ond save hormless the City oF Varionte Required <br /> Everelt from any and aIl claimz ior domnges Ihal may orise becouse of the Yes. .. <br /> ..__......... ._... <br /> inslallolion and mainienance of the improvemenl herelo opplied for ond <br /> Iurther agrees fo remove same upon noiice from the Ci�y and to replace all NO� �� �������-�����--� ��� <br /> public properly domoged ihereby. <br /> ` �+_r`� . , <br /> DRIVEWAY SECTION / X J � <br /> \ NO SCALE /� _ �` �-' -.,=�:�e� --'��.".t..p-� <br /> � �� $ignalure of Applicanf <br /> �� �P <br /> ' _� 9� 5 ' _�<`_� <br /> Address <br /> 30'% {-� 30" �j <br /> '' r' � � ��' � 7 7�a <br /> f� �, Telephone Number <br /> ! �' � <br /> .. 1 ��.�7.y .rn/. _ 22�� �' � <br /> Dafe <br /> rn,,.,/,,ti C� - .3- •�y �c:,, �,.t: <br /> Inspec or's Signafure s �p f'�� __ ' <br /> � /.- ��Cc�� �}+.� ��t� Fee <br /> Sc� _'rf�'r/G�^/. �i;:, i-, �'�-�'� �- Z 2- "�U <br /> Dote <br /> DEPT. APPROVAlS <br /> Remarks " , , �, ,>>..;� - <br /> Engincers �/' ' - <br /> Water—�7�--�"� !'�/ "[O,.E <br /> Slreel � l�'"�•�t�_ _ l�^�-:,c<".-- <br /> 7 <br /> �OI*1f1�UmCO110P5.�_.-_. ___ <br />