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--r�: � <br /> Permit No. _ '_- .- / '• <br /> - _. _.. everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGRJEERS �� ������_ <br /> EVERETT, WASH. Approved By <br /> �/.B�c',�,� ��� /Q7,Z <br /> 1 Dale App�oved <br /> The Undersigned �� �'re:=r L l�1 nrr [�F I L._ <br /> Hereby applies fo! permission to 1�NS rAt_�_ A /D � D�dU <br /> At the following location � ��� � v�� �'`"ti�' � � ��� �v��'- • <br /> SKETCH <br /> IWork to be donel <br /> � � M 8;�-� i-�. ' ,�l �..� __• <br /> -- -- _ ------ <br /> — - -- <br /> ---- - r-_..-- ---_._ . . _ ._. . .. .. <br /> e4.1 <br /> _ ...'_ "_____. __..._ ___ ' <br /> —___. /o.r—'_-_.___. .—__"_—__" <br /> �i <br /> — --- �------ - - —�-- --- ..--•----- <br /> ' - . i _ _ . _ _ _ _ ... <br /> � � <br /> � � <br /> I � i <br /> � O <br /> i m ' ; <br /> � N i <br /> 11,— � <br /> �--T� ,� �^ m � � <br /> r I '" N N � <br /> 1 = �o' � i <br /> � <br /> I <br /> � <br /> � <br /> The undcrsigned owner hereby agrees lo hold and save harmless the City o( Variancc Required <br /> Everelf irom any and all claims for damages that muy arise because o{ the Yes._.. _ .. _.. ._._.... <br /> installation and maintenance of Ihe improvemenl hemtc applicd for and No. . . _... . ... ._ . <br /> further ngrees lo remove same upon noticc from 16e Ci�y and io replace all <br /> public pioperty damaged Ihereby. <br /> r � / <br /> .' ::`�i . ..i.. L.,Li�r.�(GL�,-��./, <br /> � <br /> ,�Signature of Applicanl <br /> -i �- <br /> .. ��r�5i� .� -<.+7�s :��-L�t <br /> Address <br /> ! -- �1� - <br /> :_� � . Telephcne Number <br /> � _ -, _ � 5 - ~J -- <br /> Date <br /> . r <br /> Inspedor's Signalure 5 `j,. �- / ��' ,';:�, <br /> . 3�� �7z F�e <br /> STi=. � rl�C.'.c'r:;_) <br /> Dafc <br /> DEPT. APPP,OVALS <br /> - ��r� ��`�� -� 4; <br /> Remarks Enginccrs � /!' ���'� �" `'� <br /> > . �-� <br /> Walcr_— — <br /> _ . .__ .__......._. __-_. <br /> _ Strcet_ -..-.. .. - — <br /> . .. ,�c, <br />