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;�, _., <br />. �, �-,� <br />Pcrxit No. ._� ....-� -_....... .---. <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVER�TT, WASH. <br />The Undersigned <br />Hereby applies for permission <br />At the following locafion ``�� �� ��5� D R- <br />SKETCH <br />IWork to be donel <br />Thc undersigned owne• hcreby agrnes lo hold and save harmless the City of <br />Evcrctt from any and oll claims for damages that may arise becausc of thc <br />installalion and maintenance of ihc improvemenl herelo applied for ond <br />further agrces to remove some upon nolice (rom Ihe City and to replace all <br />public property domaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />i.___- /� ' -�i <br />+I" LIP � <br />r 30'�T� _ 30" <br />'��/� (`/�����.'��->�- ;-i_ <br />Insprctor's Signafure � , � , , <br />5107 <br />ST <br />'.:'7,� <br />everefii <br />,» �i s �.�r-<;�t/. <br />.� Approved By f ` <br />ti—/t' '� <br />Date Approved <br />i• <br />(v c ca� v. <br />Variance Required <br />Yes . .. __. _... <br />No._.. .....__.. <br />� 1 �� � . <br />f � � F" S . i� � ,' ��: {) � �� �� �� ( � � r_: ; <br />� <br />c ) - % <br />;�', , � 1 �, ' ' , , ( <br />Signalure of APPlicant � �. <br />, <br />' � � ' r, ,- ,.; �' ; _. <br />Addrest <br />� G �� �Y� r�� . �i l L l. /� � /;� , <br />ielephune Num6er�'��; ;'- ;7;'. . <br />' � . `/ J (-� ��� r�,� <br />%— <br />S � "_ --" _ <br />