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� <br />� <br />Permit No.. .....�... ....j..... <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERE'i'T, WASH. <br />The Undersigned <br />ever�ett <br />� ���i <br />�� = � <br />Approved By <br />Dale <br />Hereby applies for permission to i�� / f"•1S %�/ � /�/ �"�� � �-'r. �� i�. iv i�.F-cf . i F— ��� � F---- <br />�'Th r'�Srr�c�rTiof� ,�.� �vl�v..��a-� ��; <br />At 1he following loc�tion � I ���,+1 L_" !/ f �'�-r v t t;::t. i <br />SKETCH <br />IWork to be donel <br />I��= 40� <br />/ <br />E—��-E—�iE�N <br />c� <br />_ - ` ---'-� ''� '� '__ <br />_ ` <br />— '— <br />The undersigned owner hereby agrces fo hold and save harmless ihe City o( <br />Everelt from any and all claims for dama�es thot may arise 6ecause of the <br />inslallation and mainlenancc of Ihe improvement here�o applied far and <br />further agrees to remove same upon notice irom Ihe City ond lo replace all <br />public properly damaged thereby. <br />� <br />�'/It; / O � U/�'-=5. <br />� �— <br />'— f[, � C/ � <br />�~� CC / <br />'`�� ��� <br />OV� T� WiOfN1NG oF HFlD150/�/ ,� <br />� �` ARC f3E�Nb MOVEp I�TO Ncµ� <br />�L, by Il� = 36'F=2ot� �. <br />r <br />� <br />- WAY <br />--___--, <br />---_ <br />---_- <br />3''l' J � <br />Variance ReGuired <br />Yes... . _....... _... _ _... _ <br />No...._...__._........... <br />. � <br />� '�-_�'�'�'� <br />� Sig�otum of A�ficcn, / <br />� � �`� ci,.w.,•� r.',� „ � �� ' % v <br />Address <br />l <br />�. •�_ _._ <br />r <br />