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Permit No./�...�.'..�:. / <br />APPLICATION FOR DRIVEWAY PERIv1iT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />ever�ett <br />---���1����..�; <br />� Approved By <br />I /"/.4.`'',2-�`f /G%-� <br />The Undersigned�Ay l�_U 1�.� l� Daic Approved � <br />� <br />Her�by applies for permission toi�'-n �S'�' fZ , �- '� a`� 4�'.�'. �— 3��� �.,J I i] �r' AS'P H/a-L"T fi� l li�'�,ii/+�', <br />.�' t�_ rr . _ ;-,.-, ,. , -, <br />i • i i <br />At the following location�r� � Cki -�l� E j�Cfl (�'�_.�.� w��/ <br />SKETCH I// <br />IWork to be donel <br />� <br />/; <br />_ __ _._ . .��.... �.�...i <br />: 3";'� I�- 59�5^% <br />.r .•4e�'_ .,. <br />N o Sc�q LF I <br />q�o� EAsen�c,�j <br />� ^ 'fb Tr;E ci�7l <br />N£--.:✓ LilNas`-cH�+ia� <br />�3� �"�Sc.B_ <br />T"-3=y� P3o � � , r�r +E�_ �`* <br />.-,. <br />��%%j/ , . - . .� �_ ':� �� <br />2 .:d�l ,A Y �1��. <br />s �T�' �'_. � <br />�% . <br />rYPE 'c �� Ct�24lNG <br />�����2� ;�.�r_��� WA`�} <br />�vbT�: ��C—P ���2C �'���DtLFYfJ7 p�2o'C€c_�l=A <br />,An�n in� v���� �12�t.,� ST, <br />Thc undcrsigned owner hereby agrecs lo hold and savc hormles: Ihe City of <br />Everett from any and all claims for damages Iha1 may arise bemuze o( the <br />insfcllation and mainlenance o( Ihe improvemenl hereto epplicd for and <br />furiner agrees lo remove sarr�e upon nolice from Ihe City and lo replau� all <br />public property damaged Ihcreby. <br />DRIVEWQY �ECTION <br />Nr SCqLE, <br />� ��3C � <br />�_ j I" LiP � <br />� 30�.1. .Is�'`���.1 <br />., . <br />' �/�D�FO6P OF T/z'i <br />t,s*tir <br />r' <br />� <br />� <br />No-r•� ; R�t-�n -r� pc2iuti� <br />r�o .73 - /z/ .�oe. Kr�ia�.ita <br />��w ����PRov�titt�vrs <br />Voriance Required <br />Yes._........_ _............ <br />No_.... __..__ . _._.. <br />� <br />�' "'� ' i /� <br />._>�� ��i (/C <br />S gnafure oI Applicanl � <br />R� r^�,- r <br />}�' S c'r C> `% '�"� c; <br />:-: -v ��,,. <br />Address !� <br />.j J .� � _ c� � b .L_ <br />ielephone Number <br />i <br />"'-� � �`� <br />� <br />' � Dale <br />