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� Permit No:�.�..�.�i� everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> �'; ':r . <br /> Ci�Y ENGINEERS = '� � �tx�nv �t) � <br /> EVERETT, WASH. y Ap roved By <br /> 6r�nt'�' �.4 ,l�t(,�q <br /> :.eT�' ,� ,�iG r �� . � �� ' . � � '.}� Date Approved <br /> The Undersigned =- r- ' � 'Y ' , <br /> Hereby applies for permission to <br /> �/ai<12� •:i'� � r ...�� ' <br /> . � �� � <br /> �� �7 � l ���s-- : �_ ,�'� f„ ,.;/�,. , <br /> At the following location , <br /> ��w\e\+a�"�'�FRY/'y'Y.iM �a-.rvF..tv�.a�vY'wl�:r�nh�uMW.Y.aY✓..���� <br /> SKETCH - – — <br /> IWork to be donel <br /> � V L �� J � � V � <br /> ' """' coNG, O,e/L`�• <br /> 30� <br /> � r - <br /> � <br /> �j� 2 <br /> � <br /> � 3 <br /> \I --- <br /> .` <br /> U �(- <br /> � - ----- <br /> � S <br /> The undersigned owner hereby agrees to hold and save harmless thc City of Variance Required <br /> Everelt from any and all daimc for damages that may arise bewuse of Ihe Yes.........................._ . ; <br /> installation and maintenance of the improvemenl hereto applied for and No...... ..... '` '� <br /> ............... <br /> iurther agrees ro remove same upon nolice from the Ci1y and to replace all �✓� <br /> public property damaged Ihereby. ` <br /> ��1b� � .,� �Jl . <br /> ^�.: .. .�. � _ r <br /> :�. � i ./j� .i� � /' <br /> �' �Signalure �ol Applicanl <br /> .. . ,�• / � . :- i. <br /> Address . <br /> $ % ; <br /> • Telephone Number <br /> ,. <br /> _ r . <br /> �� � Dale <br /> G (�_v–/L�.., <br /> ��i�i -�t-,`-"i , <br /> Inspecfor's S�gnafure � $ � <br /> /, � �::: � j„ . <br /> Fee <br /> /l�.�-� 5�,%Ct� `� _-. F=. <br /> � � C; `� <br /> Dale . �. - / ' <br /> DEPT. APPROVAlS <br /> � � <br /> � �^ � <br /> Remarks Enyineers `t`-'�"�l ` '�` ` -`-'`'-`' <br /> Watcr � � <br /> � V <br /> Slreel_ <br /> Cami^��.�nSr„lic-� . � — —_ — <br />