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Permit No. y�J <br />CIiY �NGINEERS <br />EVERETT, WJASH. <br />_ -;�; �,_ <br />APPLICATIOPJ Fi�R I�niVEW�A7 F'ERMIT <br />�veret� <br />� <br />� <br />--�'��'�'. <br />� ' Approved By <br />\ ���9J/=,/f? P ��1`�-��' <br />The Undersigned� � � ) � �=�7 � I'V _ Date Approvr.d <br />Hereby applies for permission to_Gt)tJS7r{ ._� � J I S,Ji�ri'�. 17 T? I l�£–.':%711,-y S <br />At fhe following IocationL�� ��%f= !<--C.7 �.���-� J.t)� �-� <br />SKETCH <br />(W'ork to he dane) <br />No Scr.�� <br />CI.IE WA�( <br />�'�� <br />The undersigned owner F:reby agrecc lo hold and savc harmless Ihe Ciy of <br />Everctt from any and all claims (or damagez thaf may arise because of Ihe <br />installation and mainlenanr.e of the improvemcnt �.iereto app(ied for and <br />furlhcr ayrees lo remove 3ome upon natire {rom tho Cify ond lo repla�e all <br />public properiy damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />I•--2 - 3! ' .�.! <br />I <br />+I�� LIP <br />� i <br />�30" � 30" <br />� <br />i � <br />`—�i 7?ir �fj "J — -� y' :cd i� /I."�=_ <br />Inspecfor's Signalur+ T <br />Z� <br />'��sl� <br />1:�::�1 <br />�.;;; <br />�{�%,- <br />ONL= Wn'� l � <br />—�+*. l�. <br />� /. �. <br />�.ncjn �Y/,,L ' <br />; �' ; <br />!�o ' <br />'Vv`�� <br />7-' �r.:� <br />f��.: r'., d .,. _,`, <br />�r <br />,t��i <br />s _ .. <br />,:. <br />:_, <br />-� <br />�_'�; <br />�, �I �C••TYPE <br />, �� � CURCi1�.G <br />�– !Y '.. <br />�� <br />!;-1 \ � <br />�� <br />� <br />1 J :r <br />,r �"`' ,: <br />( �� <br />\.� <br />CVRBIIVG � <br />d <br />� <br />5 <br />Variance Required <br />Ycs.............. _... _ _..... <br />No_. _. _......... _......... <br />/� ,� / <br />'/ / /irdl <br />I, <br />c2�e- �G`G�^/��— <br />$ignalure o! Applicanl <br />^ � � <br />�7� 7—�Si���,� f �-� <br />Addrezt <br />.�S-� — c9�; s � <br />Telephone Number <br />/c�-- � � l <br />Dalr : �) , �:�/_;�-' <br />� " <br />� G � �f✓� , <br />S _�� _--_-1��- _/�. <br />