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a ��� <br />Permit No. �. � �._....!....-_- <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETf, WASH. <br />�everett <br />������ti <br />Approved By <br />j'�,_,�,������p �i,��� �, /9�-=' <br />The Undtrsigned� l S �1.��kRG � �` �PPfOY�°d <br />i <br />Hereby applies for permission fo �� ti ST t�' � � 8 Li 7( nG— n�� �%��-��� <br />At the following lomtion �4 � 4 ��—�M � h) �� S T <br />SKETCH <br />IWork to be donel <br />Nb <br />�C: h l �C <br />The undersigned ownen c�reby agrees fo hold ond save harmless Ihe Cify oi <br />Everetf from any and ali claims for damages thaf may arise because. of fhe <br />insfallation and mainfenance of ihe improvement herelo appiied for and <br />further agrees to remove same upon nofice from fhe City and to replace all <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />�— Lg � —� <br />�30'� �� � 30 "� <br />-,- <br />-/3-7 <br />S/TE C/.�ECK�b S�-1�7� <br />Dafe <br />✓ �G��1 /�J <br />! � <br />� � � <br />----- � � VI <br />:iL'ATE R I I <br />54i4 .,FavfRCF) -�--�� <br />�" � . <br />st_F �er�r� ir� <br />73- �49 <br />� <br />,6��AC <br />�(�EF1 <br />I I � EP�E o�f <br />I PAJ�Y <br />� <br />Variance Required <br />Yes. ........................... <br />No ............................ <br />,v��v�vis ���i� <br />��� �� L � ,� 1 <br />iE--�f <br />$ignafure of Applicanf <br />_���� �-C�c� l i/2�� S �� <br />Address <br />3.�3���7 <br />ielephone Num6er <br />� <br />�,% lJc: � .�/, /Y7� <br />.� :t .� �.> , <br />���� ��c ��� 3 <br />� ; C� <br />�EG' D ��� J77cL Fee <br />-�-31 -7� <br />