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P.�rmit No. �.�.. .� �.J <br />CIN ENGINEERS <br />EVER�R, WASH. <br />The Undersigned <br />APPLICATIGiJ FOR DRIVEWAY NERMIT <br />�. J �3. �--/c.� <br />everett <br />r �; /^��j^i/" _ <br />-- � Approved By <br />Date <br />1 S ' <br />Hereby applies for permission to C��7S�� , �—� G 4� �— '' � 1�..; l L�'= - ��.�1 UE��'V .�5�`� <br />At the following location ��- �, Z ��% Cl�l-C �' �C't�. ��`���.�i <br />SKETCH <br />IWork to be done) <br />Q �MA11JrAiU <br />, 2'�6"�2o!a <br />"J 2_I�c <br />�Zo2 <br />p�hN7iN� <br />I�.-- -- - - <br />The ondersigned owncr hereby ogrees ta hold and save harmless the Cily of <br />Everett Irom any and all claims for damages that nay arise because of Ihe <br />insrollation and mointenance of Ihe improvement herelo applied for and <br />(urlher ogrecs tu iemove somc upon nolice (rom Ihn Cily ond lo replace ull <br />public proper�y damaged Ihcreby. <br />DRIVEWAY SECTION <br />N� s�a�.€ <br />�I- L9' � <br />��I" LIP <br />I�,ao'�t' __�.30„ <br />Inspeclor's Signolure <br />� � �� <br />� <br />, , <br />�! ,``� ' <br />1 '`` <br />� <br />� /�:,�, <br />a t'1�; <br />�� ;� <br />'r— r �sr, ro6�= . <br />' j F V,-� r'r . <br />! <br />; <br />Voriance Required <br />Yes............................ <br />No.................. _. _..... <br />' _' �� / <br />�'��� '��-%,- �:v ���� ��-'-J,��/ <br />, Signafure of �Applicanf <br />_, . <br />�>i-f -;�,�?..; �: <br />Address <br />� <br />Nu <br />S Ch L'c <br />,' ��- <br />J � <br />,ielephone Number <br />/ <br />� ,,.-,..�: <br />���. /�ii <br />, <br />Ue,� J <br />� � C.> �•. 3�L <br />�'__�'—_.� ^ % <br />S � „"' . '_' d`.+-.-.._ /- ��! ? <br />