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� � <br />P �mit No. �-./....--�-�-. - <br />CITY ENGINEERS <br />EVERETT, WASH. <br />APPLICATION FOR DRIVEWAY RERMIT <br />The Undersigned G� r.��c �i � 4--C N S U i`J �--��� ' �`--"r+c , <br />Hereby applies for permission to—���STt2 - L- — L`�' l%J I �� I�SPh�. � R 1\!E A}�y .5 <br />everett <br />► <br />At the following location � 3�� '� �--E �`'� � t`�! G• ST — <br />SKETCH <br />IWork to be donel <br />� <br />£oGe ot pqV�7%r <br />_ -�FLCMIUG <br />The undersigned owner hereby ogrees to hold and save harmless the Cily of <br />Everett from any and all claims for damages thot may arise because of the <br />installation and mainlenance of ihe improvemenl hereto applied for and <br />further agrees to remove same upon nolice from the City and to replace all <br />public properly dainaged thereby. <br />DRIVEWAY SECTION <br />NO SCA�E� <br />�.-- z- � s <br />I" LIP <br />j�3� ►� �I'30 �I <br />�/,� S-2z -7y ic�,,, �e�rti <br />Inspxfor s Signature <br />.a�h �,9 �,�' 9/9/79 ,t� �(. <br />Dale <br />i�/ AbF=-���"��' <br />1.�/c cc�!1; l-/�? <br />o- �;v=s <br />sT/t�G aTU,��r� <br />� /z �� 1 n� <br />Variance Required <br />Yes....... _....... _. _ _..... <br />No.... _. _ ........ _........ <br />, . .�. .' /.....�, `- c..%� <br />�'' / ��.oc� l�t .`G -[ ��!'.�/, <br />Signalure of Applican! <br />l.;,(-;'-. � '<',•�:C.::.c:[!_� , <br />Addrest <br />�5�5, _ �..�Li i_-.7<_ , . <br />(1 C " _. /'" / / 'l , <br />Telephone Number <br />Dale <br />$ �'c <br />�i� iD '— — i <br />i rJ .c.�.s-- �' �-L�. <br />p.�. _ . <br />Fee <br />