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Permit ��o. � <br />,_� . � <br />- �---......... <br />APP�ICATIUN FOR DRIVrWAY PERMIT <br />everett <br />CITY ENGINEERS ������! <br />EVFRETT, WASH. ��� � r � � ` � '� Approved By <br />� y�U/rNi�/3F"iE' �.C� �r� <br />The Undersigned �. �'1— K i N N E y Da�e Approved <br />Hereby applies for permission'o <' �id�.57 _� �' ! % y �%.�N /�A2 D ���/ <br />AI the following location � Z�— ��iD/.� O/li S T <br />SKFTCH <br />I�Mork to be done) <br />�-�---�--�-�- <br />' ��� � <br />Thc undersigned owner hereby agrees lo hold and savc harmless the Cily of <br />Everen from any and all daims for damages that may arise because of the <br />installation and maintenance of Ihc improvemenl hereto applied for and <br />further agrees fo removc same upon notice irom the City and lo reploce all <br />public properry damaged thereby. <br />Inspecfor's Signafure <br />. S/i� <�firEG,rF/7 ���/�7/ <br />Dafe <br />� <br />N <br />/t�0%}�"; •i�loVr: )�yTi.�h,' SffUT oFF /�y�p��, <br />Tn ovrsi� aF s�W $�0 2� <br />���I�.CI J�.(, G.c`�.'C. <br />:j.; <br />. : �, � <br />� <br />� <br />W <br />Q <br />� <br />TYEE <br />RD. <br />Variance Required � <br />Ycs.. _ . ..... _. _ _....... _. <br />No...... _....... _.... _ _... <br />�, J , <br />��LL-� �Jl e�����, ..,� <br />Signafure of Applicant d <br />f_� / �j�r a.cGy-o �_ sT- <br />Addnass <br />c� L� � u Zy� L�%��c- <br />Telephone Number <br />3 ,5 -3 G, g �_ z.. <br />Dafe <br />� luo FF_� <br />Fee <br />DEPT. APPROVA <br />Enginech_ � - / e • ////�/ <br />Wa�cr ',L,. �.._.. � T / ��� <br />Strect `_._—___......_.. ___ ---. <br />_ .�...i:�r�'___ .___ _. .• _.__._—_. —___ <br />