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�—� /e r_, <br />,i <br />_/ �' 1.•. `.... I <br />Pcrmit No. _r_..----- .`--- <br />APPLIC.4TION FOR DRIVEWAY PERMIT <br />everett <br />CITY ENGINEERS ` ` �; ��� � �`� � - <br />EVERETT, WASH. � r; � Ap roved By <br />`� �a ,/ � �,5� �alo�l <br />The Undersigned - �% -�«�l �MS ��f� ���y ��� ��`v / �'� Dale Approved <br />Hereby applies for permission to���-�����' �1�[-/ ''���r' � �d�!`f� �� L-F�'� � /N�"'e�� /- `f � , <br />,I) ���- v��C� �Z��-� 1�� �'(,�r""c./t/C} G G/,4 .�� ,��' 1L , <br />At ihe following location � v��s / ! � ��"/ � � � �� ��C e������ <br />SKETCH <br />IWork to be donel <br />� _ . _�,,.�— <br />� � .' ';_ i v,. <br />� ����tfi DRNIidAGE <br />T�FFl� .c3urra.,�s ' <br />c` lvH/TE Ld/�/E' LtNF�S " �, <br />� / p�� <br />���A�" �% <br />`��- - �/��-. <br />�C i :1� I+�� � <br />fUGe024/L <br />54' <br />/ <br />Thc undcrsigned owner he�aby agrees Io hold and save harmless the City of <br />Everetl from any and all claims for damages that may arise becouse of the <br />inslallation and mainlenance o( the impmvemenl herefo applied for and <br />furthcr agrces fo remove same upon nolice (rom Ihc Cily and to repla<e all <br />public property damaged thereby. <br />; ;'. <br />_ i <br />`7'' _/ �_S7�`-��y ���� <br />�, <br />Inspedor:�Signafure " <br />. �. <br />� > j . 1 : <br />i: <br />: <br />DOfe <br />� <br />. _ <br />, • � �.�' NEl�1� ,4.� =' 1�%�! <br />cueeoea��. <br />'^/`�..,c <br />seT �iNES fo� Sxt�t�GE SLo��" <br />lxwa/ i`�= EOCH H.•'t%%` F� � T� E: <br />CoM,adcT To 9 `.ai� <br />3" <br />� iPEMO vE I swe�e <br />�'(LIJ�� _�. �.,/C.�.�L� <br />PdVi.�/v c~ <br />�''7D0 <br />:.yEG'T ,d-Q C� � .D2�✓E5. <br />4 "�Gde/E L rnJE <br />// �' �'LdST�� BUTfONS /O �K50' e_� � <br />;:'�'. Pd TT"��tiJ. <br />Variance Required <br />Yes ._.......__._.___._ <br />No. ..._._....._. <br />SignnWre uf Applimnf <br />nad��,s — <br />Tclephone Numbet <br />Dale -- <br />$ <br />Fee <br />DEPT. ?.?PROVALS <br />� / i <br />Enginccrs ����L�L'• �-4=tt-L'�.,.�• <br />'`�Waler - '�[ ;,".- . <br />Sfrecl �..✓ ( `, i. / _ � ;;._— <br />��ll:' . .'.:'11�::�..__ . . . ____ __ <br />