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_, -; <br /> �, _ :�, <br /> Permit No: .— _.- -•=-- ---� � <br /> everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS �� " <br /> J / �M. <br /> EVERETT, WASH. � A p ved By <br /> .,T� � � � . / / )IE�CeY71��i1 � 1 . � lbI <br /> The Undersig�ed � ��_--�•J�� {�•�� ����- � '-� !r ;�J " Dote Approved <br /> Hereby applies for perminion to—"�r %:'•`��'-G--r 1 �s'�1.1��r""i:�.� /" ' / ' '/"' '"i , '/ .' i '!.' <br /> At the following location�23�( ��� <br /> SKETCH 1 i <br /> IWork to be donel <br /> �- <br /> -� i <br /> p�:�Te,��' ; <br /> I � '�o' <br /> d-� 3�' � <br /> ✓ f� <br /> `-'' !I <br /> • �.r�-,�Tr- <br /> � K I,MITH in�4TER <br /> � ' � <br /> . �;�, nvn,t�n*r <br /> A_:Pr1.4LT �-��/✓G, �:,c�; , � �J%�:�cT [���;',�%';'. <br /> �� — - _— � <br /> ��r���. .U-1L�T q�C'�Gf(s. — -- — <br /> COLBY� AVErJUE <br /> The undersigned owner htreby agrees to hold and save harmless Ihe City of Vnriance Required <br /> Evcrell from any and all daims for damagei ihot may a•ise bemuse o( the Yes . <br /> installation and moimenan<e o! the improvemenl here�o applied (or and No <br /> further agrees to remove same upon nolice {rom Ihe City and to replace all � � - � - <br /> public property damoged ihereby. <br /> %, ,; ���. ' '"'L' �''G �,�' r > ., . <br /> c , c�" � . _[� ,'CcrY / ,: -_ r�- ?�.� _,'� .. <br /> ,/ Y' SignaWre o(,,Appliconf �C'�":��. <br /> /J" � �/ :� � l. / , , t. - .. <br /> / �� L' ( <br /> Ac�dress .� <br /> , ,y , <br /> '�,� '��, ' ;c <br /> f ` <br /> Telephone Number <br /> r <br /> ,f;�C. __. i �r. <br /> Dafe <br /> In�peclor's Signafure ^ $ ��� �-� <br /> / •- /.` ����: <br /> Dafe <br /> Y <br /> DEPT. APPROVALS <br /> Remarks -- �•�� �'-�' -� / \ � <br /> I ., . .a'' / � Engineer3 C)�-trf��.�v'�� V� ,�--G:��y.�-.., _ <br /> TWaler .� =['��`. � <br /> Strecl <br /> Ccnnrv�nicoliuns � <br />