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Permit No. ...l. .2--.`-_)>>--.-� everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS � ��'', t <br /> ����_ <br /> EVERETT, WASH. Appro�e� By <br /> �, � C.�/,c.;� /� /�"l.0 <br /> The Undersigned �/�%3L_Te''l? /1/, i/o�M,4-N Datc Approved <br /> / <br /> Hereby applies for permission to�AV� f.Jr /Z/d(r/�: C� ,4 � � /�%•�i..',�';`r'/: �:r.ti.i� <br /> / <br /> At the following location � � �=` �1 �. <=�!'� (=' : ._ I m-;. A1/y�. <br /> SKETCH <br /> (Work to be donel � <br /> w <br /> . <br /> � ---- -_ __ _ <br /> � PAv�r MAGNoL�A ,'�VE. <br /> - - - - - - - ;r-- ,— - - - - -- - <br /> � ,� ;,i---— — <br /> j � p , I CX157 GRA�F� D �J WI-rH 1�� ftPP/�Uncrl <br /> � � � � <br /> j � AL �.l N� c',I. .-A 1 o F3E <br /> �--__I PRNeWN�f � � I ` �r- <br /> � I�I (�AvC-D l_:�I7r-� AS 4�HA t..T <br /> t <br /> � <br /> 49 <br /> � / <br /> .__ � �'!';�. . i� .c�s� ,�=�-�-. <br /> The undersigned owner hereby ngrees to hold and save harmless Ihe City of Variance Required <br /> Evere.'t from any and all daims for damages Ihat moy arise because of �he Yes <br /> _._._.__................ <br /> ins;uilarion and maintenance of Ihe improvemenf hereto applied for and <br /> furtacr ogrees b remave same upon nalice irom fhe City and fo replace ail � No..._.._._.._........_.. <br /> . r, ;.; • <br /> public properry damaged thereby. -�'��5��-� I,�r l � <br /> .__._..._ _. .'_ __.__ _'. . __,_..+ YV � I l��'f �.� 1+�61 i� <br /> � Eit�4R•:� . .. :TC:"�QH `� <br /> � �:'.`C .3C^nLC� � /,� �/� � i�� � -�'l' <br /> �s'Y('I� <br /> Signeture o( Applicant <br /> � I ' ' ��1 <br /> . -;.�'�� _�r..� t ,� U b !�1 A[ 'n e �, A -� Y r y1 <br /> � ; --� ndd�e,� <br /> . � ;,;� -- ,-;J--� <br /> , ♦ _. . . . . __. - 4 <br /> � .._ . . --, ._ - _ . ...._ � , <br /> � , __.— _ �O � __. , i �.9 -3 � 3 vl �'} <br /> � Tele hone Number <br /> P <br /> �-.._'-.'-_.__-------�-'-__..__.._--.--_-. - <br /> / _ ,1._. Date <br /> f ` -� <br /> � Inspedor's $ignolure / f� ��.�� C � ` /� L� $ '� �G�' / J <br /> �,. i <br /> � � <br /> � � ��1 fi <br /> ;� . 1 , 1 .. Fee <br /> . �%J/�� .. '�;.��:.�1 ' . � . <br /> Dafe ��� '���. <br /> i <br /> . DEPT. APPROVALS <br /> �.. :i . � <br /> :_.r�t � . <br /> Remarks Engineers��` fr' �- ' _ <br /> � �7 'ir�. �"i,?, <br /> W ater�t-��i',I .-i,��-��.� <br /> ' � . <br /> -.-- ----- ---�--�--- -- Sireel— <br />