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,� <br />' <br /> i <br /> 1 <br /> t <br /> I <br />� <br /> � , .. '� r= -r- � , . � <br /> J � <br /> P.ermit No. ..--'r�--�/ <br /> -������ �� � everett <br /> APPLICATION FOR aRIVEWAY PERMIT <br /> CITY ENGINEEFS 1�--%�G���z/� <br /> EVERETT, WASH. Approved ey <br /> �=��r�,��� z,2 /y�/ <br /> , Y <br /> The Undersigned �`� ' ' f � c � t Datc Approved <br /> Hereby applies for permission fo ����'`% ' %` � '' '% ' � <br /> At Ihe following location '�<% %"- ' L E r =� %E <br /> SY'�CH <br /> -� <br /> IWork to be donel <br /> I <br /> � 'D <br /> ,o G / <br /> � �r � <br /> , �8 �g ,v <br /> � �ar / <br /> � �. �, <br /> . � <br /> � � <br /> � � • / <br /> � — �� � <br /> I _--�` /y i <br /> i /7 � % � <br /> i � , <br /> � �— \ <br /> r <br /> -�;�. n,^v P� -- <br /> �..,:N _— <br /> - � �� � .�� <br /> , <br /> �., <br /> � <<' ' � � <br /> 1 <br /> j ;2 I <br /> � <br /> ,� <br /> I ,�` � <br /> : � <br /> Thc undcrsigned owncn c�reby agrces to hold and save harmless thc Cily oF Variance Required <br /> Evereu From any and oll claima for damages that may arise because of the Yes..........._...... <br /> _.... <br /> inslallalion and moinlenance of thc improvemenl hereto applied for and ---�� <br /> furlher o rees to remove same u oo notice (rom the Gif and to re lace all �y �� ' - No....................__.... <br /> 9 P Y P �)1..�� <br /> p�blic property damaged thereby. <br /> �-- <br /> + CRJV.Et+AY. . .SECTIOH DRIbE:JAY . SECTION..�._. . .� . -- .--. �. . <br /> 1 (►dD' SCnt�� ���.,/ i `. ` <br /> � �.��'�— '.^_ �1 Signalu.e ol Applimnt , . <br /> �-.7� � . __._ __ C-40 � ..v...' -. _c=� \JA J �;1 ,' (i; f �'; �< J <br /> � w � � i �> �.,..�_.� _-� , ...._,. ._ ......_ �I Address <br /> j �� _; .._�.,��:"_ � .L:!?:..�_ .._ <br /> � �. � _' - Telephone Number <br /> � . -----_ . .._____..� r:�� ,:; : �.���a <br /> f� /�, ���% <br /> ale <br /> Inspedoi s Signoiurc $ �� �( � -� . - � -��' I�-/! <br />