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: _ _ _ __ <br />fermit iJo. . �. r._--' —= <br />CITY ENGINEERS <br />EVERETi, WASH. <br />APPLICATION FOR DRIVEWAY PERMIT <br />evereit <br />~ , -Y <br />' i <br />!' � <br />� Approved By <br />�i9,�'H ,z� /97�_ <br />The Undersigned � i+ � � '-i1� ' fr_ L� {� %V E(-�' �__,7:: 1JC . Date App ved <br />Hcreby applies for permission to �- -? ��=-�% � !� i � / A -`� (�!�• %��:�� <br />At the following locatian <br />SKEi�H <br />(Work to be done) <br />�n � �, -1 , <br />D <br />� <br />�� <br />Thc undcrsigned owncn c�reby agrees to hold dnd savc harmless the City oF <br />Everen from any and oll daims for damoges Ihat may ariie bewusc of thc <br />inslallation and mainlenance o( the improvemenl hereto applicd for and <br />{urther agrees to rernove same upon nolice irom the Cily and to replace all <br />public property damaged Ihereby. <br />Y.EWL�Y. �. : SEC <br />(1�1U „CAL.r.) <br />}'Y7iy. _ __- ^^ ��~ <br />� � _���� <br />. �' <br />Inspedor's $ignalure <br />: �iT.c �Nr=Git�F � 3�j�� <br />Dole <br />`• i) i) �S <br />�i7R IVEtJAY_. SECTIOIV.:•:: " ' <br />,� � <br />�J.t'; .. . �� <br />� `r•G_ ..� '• -- V \1/ <br />A/L - 1 �r� <br />Variance Required <br />Ycs_ _. ... _ _. _.. _.. _.... <br />No.....__._._.... .... <br />. . . . i . .l , � <br />� -�;o ,: �'G�. .. •�' , . . .. <br />/ , <br />� <br />L. �: . i �_ .� f <br />Signalure ol Applicanf <br />•i �.7 .J' -� .. . _�'i J.'� � � ._ <br />Aad�ess <br />'.% Z. ._ .. � ,. ` ' - <br />ielephone Number <br />Dale <br />� f �'�' , -� i <br />$ � - � r,�:r��` �,_ <br />Fcc <br />f'CI�7 ,..,... . <br />