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1 : � � % .'_-:: <br />Fermit No.-�..-�.!.1`-=r.--.-- <br />CITY ENGINEERS <br />EVERETT. WASH. <br />The Undersigned <br />� .� <br />APPLICATION FOR DRIVEW'AY PERMii <br />� ��.���//TF� <br />everett <br />--�'��-/Zf�rf <br />---� Approved By <br />�,/�� y ,2 J470 <br />/�l�r`,�.:}r�Date Appr.�ved _ <br />Hereby opplies for permission to �'`�S� FiiG� �/b'i c:. c�'/•:'�S .P�'G+� c+'',`e9' U��-�f O�CC:'" "' a/�'^'T� �� <br />- w./ 9 � ' .f/.1 �'s�:! .' ' ' .�.'/ '�J� � �''i' F�J " r 1 �''�.. ! � � t •1 f r i�lj /%� " f- ,. � (.. t..-� <br />F VERET"'— /�9� �� �Nc'� = —i Nl� � ��NT'EE' l �10�� c; ��.: , <br />At ihe following location i <br />SKETCH <br />IWork to be donel <br />---------- J �� U � ll <br />�, q DW <br />��GT CpNG. CUf'B� <br />---- :.—�H� �'��5f <br />--- _ ,;;:.�• — _ <br />– -- <br />------ �i�,�-ir ,��._.� — --- <br />,V � _ , �.co. � ; � �• ���I , Na�� � <br />��EEu � ����r �,�,. N� CAT`—GN �A'�� � <br />V <br />�`��\�` <br />� i— <br />�`��/�°'0�.------ -' /' — -, <br />���': <br />SCALE I"=50' <br />The u��dersigned owner hereby agrees ro hold and iave hormless the City of <br />Everetl from any and all daims for damages that may arise bemuic of Ihe <br />installation and maintenance of thc improvement hereto applied for and <br />furlher agrees to rcmovc sam^ upon notice from the City and to replacr. all <br />public property damaged iheieby. <br />Inspecfor's Signolure <br />;7/� �/-f .iCl=/i �/� �L% <br />Dale <br />Remarks <br />�� <br />,,- �� �1xf/ <br />R�_ <br />.� ,-�_ , _ _ <br />SPEE�� S��"��-__.. <br />1�/Sf. cA%GN BASI� <br />�-- <br />�� <br />_h,� f�G piV� ��K r0 :��- <br />LOGP:''ED Hn�O DR��� r=:�; � <br />F�R � P{ RbVEI� J'' I`;LcFIG Gi��"i <br />Y'To E3E <br />FE�.'- _ ,� <br />r�v[: '.J.. „ <br />%/GC� : .�. , - �;,' '. �� <br />DATFl1 JAn�.- 196� <br />Varian.e Required <br />1'es. _. ..........._._... <br />No.......___.... __. <br />� /✓�. <br />��'!l�:d . �� )� ` " ) <br />IN/C-,� CoN;S T' � J' �-�,L/ CrJ, <br />`� Signature ol Applicanl <br />7L- � /L �. .J ,S- 7/f . �i; i,-; � ,- <br />AJdress � °j,�/i ;j <br />1` !F :% � / S� S�' <br />iclephonc Numbcr <br />�/!�/'� <br />Dafe � <br />F_=c' l3�i0 u,� n <br />5/��S'4:i �`-�U�iV �.' ,Jc�y�t" <br />Fcc <br />DEPT. APPROVALS <br />,-) /.',- %' fl <br />' d/i. � % / /. <br />Enginccrs: � �� �� � "' �'� �L� <br />Wafcr � ��� — � <br />$ircet— ./N-.... ,`..��i!f°J!'.�.. � <br />:'..��.. ' .;,i-. " _ .... . _.. _� _ _ . . <br />