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��.� . (r <br /> Pe�mit No. ..,.. ..��.:....—. .,. <br /> � everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS ;� ��i����� r ., ,�-. , <br /> � , �_ . <br /> EVERETT, WASH. _ Approved ey <br /> _, _ ., - <br /> -< ' �.�,.f� i� �5°"i':.' <br /> The Undersigned��J'�-��E.LL t-, I�S�--���� Dale Approved _ <br /> r <br /> Here6;applies for permission tos��>+� ) S T(<_ �. . 2 � LC � � 't 7�' � 1��1 '.)E:,� !�/��-`'� <br /> At the following lomtion �C��J �� �'C`)Val LE�' ��C <br /> i I <br /> SK�TCH I �¢ <br /> IWork to be donel � i <br /> i <br /> . � ------ — O I j <br /> � 1 , <br /> � �(� V � Na <br /> _ � � � �\ <br /> ��'-' � �n�t <br /> I, \ � � <br /> ---—. _ . . . _.. _ _ I �� <br /> �� <br /> %. <br /> � <br /> i / � � <br /> / �� \ <br /> __ �' \ (� <br /> �� .jOo2_ � ��� <br /> i <br /> /� \ <br /> � <br /> i <br /> � — � , � <br /> -1 <br /> I I` <br /> The undersigned owner hereby agreet lo hold and save harmless Ihe City of Variance Required <br /> Everetl from any and all claims for damages Iha1 may arise because of Ihe <br /> Yes.._......._.._.. <br /> installolion and mointenance of the improvemert hcrelo applicd for and <br /> lurther agrees m removc zame upon nolice (rom Ihe City and to replace all No_._.......... ._._._.. <br /> public property damaged thcreby. � <br /> V • �� /, <br /> DRIVEWAY SECTION � �1/ ,\ � � +—�� . <br /> NO SCALE �� <br /> � y, �—, � � Signafore of Applicanl <br /> I" LIP �SL�/� -G�it.�/� <br /> A dress <br /> 30'�1� 30" <br /> � '�' "� , �L ' Z ' Z S �' S' <br /> � Telephone Num6cr <br /> � - 2 '�'1- 7 3 <br /> �'7 Dole <br /> _ :1 -�. " T Sl ��l�y� � , ' <br /> s .. . <br /> Inspeclor's Signolure � � S \ '-� _____ �- � . . , <br />