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. .�1� �t^� <br />✓ —' <br />Permit No . ............................... <br />APPLICATION FOR DRIVEWAY PERMIT <br />CIN ENGINEERS <br />EVERETT, WASH. <br />everett <br />, �� <br />Approved By <br />��..,�.," �/-'�'/� /�. /i�%:' <br />The Undersigned�d,�==�Z—T ��„—�, M l i H, Date Approved <br />! <br />Hereby applies for permission to Gp� 5 T2 . ,�, i� R 1� C�.l> t1'--4 �� � � Dv <br />SKETCH <br />(Work to be done) <br />i I <br />APP/InY � <br />Eo(,c >' <br />Ph'J�T- � <br />I I ! <br />.i <br />� �� --�c,�..., . <br />12�' tio S�.a�E <br />I I !//��' <br />; <br />� l'Jf 1� ��� <br />� <br />; ��_ <br />SALc S I_c,'-c A2� A <br />io aE GK-�aV�L�o <br />CTEµPpk� A'�-�I a r��y� <br />3vi�o. P£I'-.;�-��� Issuc�o 3�c�•-�7�-% <br />S ��/-73 CLosC our— �//,�j 0.1JL}' <br />Cv-y��c.ET=D. <br />���r.> cC h; <br />The undersigned owner hereby agrees to hold and save harmless the Cily of <br />Everetf irom any and all claims for domages that may arise because of the <br />installation and mainlenance of fhe improvement hereto applied for and <br />further agrees to remove same upon notice from Ihe City and to replace all <br />public properiy damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />i <br />r-- �5" -�i <br />+I" LIP J� <br />`� 30'�T� �I 30"� <br />� �. <br />_�-�� ,- <br />_�� <br />� _�����_, <br />y.; � <br />: •�., <br />� <br />Variance Required /� <br />Yes... _ // � s��L�., <br />No...... _......... _......... <br />Signalu�e of Applimnf <br />Addrets <br />