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� i--�i� <br /> -PermitNo. -J..:.�:::...�::._f� .. eVel'e� <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS G�/./a�/�� <br /> -�L���C <br /> EVERETT, WASH. Approved By <br /> 'l�.Ec� /� /97'/ <br /> The Undersigned L9�/p/�7'OP✓ : /'S�i ! Dalc Approved <br /> Hereby applies for permission to_ ���'✓'_'' t� � `?�%L� C .�.v, � �:�-r- <br /> At fhe following location � `% �%- /- I �i ,: — f :- � _ <br /> SKETCH <br /> IWork to be done) <br /> — --- ---- -- -- — - I <br /> i — --. _ <br /> � <br /> I �` � <br /> — i <br /> �,I <br /> C <br /> ---z.0.0_ � J <br /> �I <br /> ! O� �7 _ I <br /> ~ I �I <br /> QI �� � <br /> O <br /> � �'J <br /> �le �'n'e � L1' <br /> n W <br /> I L i <br /> , W� <br /> � J, <br /> I � <br /> i I I � ��.4� <br /> � + <br /> �— � <br /> .� —; <br /> I � <br /> I <br /> I � �� <br /> --_—_ __—_— _ . . ..— __ __ .' . _ � . <br /> The undersigned owner hereby agrces tc hold and save harmless Ihe City of Veriancc Required <br /> Everelt from any and all claims for damages that may arise because of the Yes <br /> installalion and maintenancc of Ihe improvemenl hcrefo applicd for and No .._ <br /> further agrces to remove samc upon nolice from the City and to replace all ��-� � ��������-�����-' <br /> public property damaged Ihereby. � �+�1>'`.� 6 <br /> 6.R1v.�w.�,Y. ��__SQGt/AN ' � � .LL_ <br /> OR1�'E1J,�Y. . SECTIOM..�.:. . � (ND��._-SCALS) . ' � ::-. ": '� ,� ', -. � .. ' <br /> � _a,l Signotu�c ol��pplicanl � '� <br /> !:. 30' : i- , <br /> � .� � <br /> �� �y \ • <br /> ._.r�.:_,..___._. M ��� — G:l i-i�;� iL /'L , <br /> i <br /> ' '"'"�T��--- - w �.• j• -� l )'.rL�l cCCt�ZIdle�.�� �.�� F% `'�� � �( - <br /> � �L6a�.�...�. _,__ _.�� � /C�= � -�i <br /> � ' pi � Telephonc Number <br /> � IYJ�=3"ie a�l`� d <br /> � J Date <br /> Inspecbr's Signafure S �- � - � �;-�(r__',,� % � <br /> �..^ � Fee <br /> l ,-,,,-,� 3/.y�, <br /> .1J� � �� _l__�' i:1�_._ �1�.� _ <br />