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? � �'� �'� .,", <br />Permit No. --.',�-------:,.i'-. ::P,:_ ` <br />APPLICATION FOR DRIVEWAY PERMIT <br />C:ITY ENGINEERS <br />EVI=RETi, WASH. <br />The Undersigned <br />everett <br />� <br />AP vi BC-�GJC.�.�-�1,�. <br />1 i �or= � lq��i <br />ale Approved <br />Hereby applies for permisron to / !/K�"��� � ��� ' �Q � ' �`� yU ' /'�� '�""`��� <br />- � �� � / <br />� g /j/ •�/-� / / /u ,�, i T `=%• �n! �2 �f/,,,,�,T'.., ,�%r�C,/�, _ -..f./;. <br />At the followin location_ �- <br />SKETCH <br />(Work to be donel <br />"�f�1 LE- <br />�. n �0. <br />e <br />� P. C. CONC• l_7�/V� <br />Thc undersigned owner hereby agrees lo hold ac:l save harmless Ihe City of <br />Everett irom any anri all claims for darr.ages Ihat may arise because of the <br />instellalion und n�aintenance of the impruvemenl herelo applied for cad <br />further agrees to remove same upon nolice �rom the City and tc replace all <br />public properry damaged thereby. <br />i <br />_�� _�- --�' '� <br />' . .�w.. . i,_c�� <br />Inspecfor s'Signature �� <br />�� i <br />� % <br />..�, � .�— � L, 5; <br />Variance Required <br />Yes. _ _ _.... .. _......._... <br />No._ ____..___...._. <br />X� , � J l� <br />, Ai en-rit.l i /�7 !/� fLC�t�cZ �c�C�I�C. <br />$ignalure of Applicanl U <br />� <br />g r i ;; � <br />� <br />� �.-S � "�-�, • ! �`('� /�1� i <br />Address " ' <br />.. `__..i7-'c�'7�( .%�C: <br />TeleFhone Number <br />i / � �ar�— <br />�- /D'�/;� — �//.' . .` <br />Fee <br />DEPT. APPROVALS <br />Remark; Engineers <br />Wafer �% �` , .. <br />_ Slreet _ <br />Communicalions--�---- " �� <br />