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� <br /> �,. ^-�' / <br /> Permit No--� .—__c_.'�_-_-_- <br /> everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS <br /> EVERETT, WA$H. Approved ey <br /> �-. <br /> �, / <br /> �' , �;��i�lJ'��/ �J'�� � Date Approved <br /> The Undersigned � •'-���- -` � _ <br /> Hereby applies for pennission to ��"�'-��• ��j"u� �''= '�� <br /> At fhe following location � r�% � <br /> - •--a--»,..._.,r.�.�.�., <br /> SKETCH / ��� <br /> (Wo�k to be donel �,/ ",� ' �,�,% <br /> .3 5 Ty S T,C EE T i :;'.� � / �- : <br /> F��JG�S..��D �'P.G. d - EX/ST/N6 D�/✓EWti'y" <br /> • n .4PG.PvX ;5' H•�OF . , • <br /> I!c=- �v <br /> NDTE BU[KNEAG/�� , <br /> 7"NE �E�15�N F��' lr1�E CdNG �5p 2 � <br /> <it:'�,� ,'_, ST,t'/CTG� 1�,� <br /> p<7,P_,E'/NG �!J.�'�"'ScS, � <br /> c•F. <br /> N � �"� d�' <br /> 113.,�,1 <br /> I V <br /> I �a� V <br /> O <br /> ��) <br /> tll <br /> N <br /> 113,"1 <br /> Thc undersigned owncr hereby agrees ro hold and so�e harmless fhe City of Varionce Required <br /> Everett from any and all cloims for damages that may arise becaose of Ihe Yes <br /> __.__.._._.. _ .__. <br /> insfalialion and maintenoncc of fhe improvement hcreto applied lor and <br /> (urther agrees io remove same upon notice from the City and lo replace all No. ... ._. .._.. . _ . ... <br /> pvblic property damaged fhcreby. <br /> ::i Ui� �/ <br /> , ."J i <br /> C� � ' Signa�tu e of p��: <br /> �j r'� <br /> y"i'.�.� �-b--'.." a� s O , '" <br /> : p ,.- ,. <br /> Addrest <br /> � ? , � � - , <br /> J J �-( _ _ r �,, <br /> Telephone Number + <br /> Dale <br /> Inspeclor's Signalure $ <br /> � _. <br /> � Fec <br /> l�/ Y/,= 1 <br /> Dale � <br /> �� DEPT. APPROVALS <br /> ;�� ;��, f/, e C', �.� �'<,dc >�, '� ���� ��,.�; f ��%� .� id <br /> Rema�ks � Engineers <br /> i I� <br /> Wafer (� / <br /> i;, -i ��' !�. /+c - = r<,� i. "�>'. Strccl <br /> (',..,m�. �.�iicn'_._' _ _. _ _'I__�_.. _ . --._ <br />! _ • ' _ <br /> A <br />