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Permit No. ��.1....Gcr'..�_. <br />APPLICATION FOR <br />CITY ENGINEERS <br />EVERETT, WASH. <br />DRIVEWAY PERMIT <br />_ �•� �..;. <br />'6 � <br />�.. <br />everett <br />'/ R,r . � "�1 � .� <br />'�- � Approved By <br />� �- /I/lJi/c.G/F�E"�c? ���'%%� <br />The Undersigne�_ ��,�1�_�,I K� L� Dote Approved <br />Hereby applies for permission to � oN ST: A 5`T'Ar.l n A R D �' T% S�G(/ <br />At the following bcation__..c'��.'' <�• ' ~L_..��i''�l = � <br />SKETCH <br />(Work to be donel <br />� <br />�;� 1� <br />The undcrsigned owner F.ereby aarces to hold and save harmless Ihe Cily of Variance Required <br />Everetl irom any and all claims ?or damages thal may arise bemuse of Ihe Yes <br />_ _. . ... _ _ _...... _... <br />installation and mainlenancc of �hc improvement hereto opplied for and <br />furlher agrees to remove same upon noiice (rem the Ci�y and lo replace all No...._._._.._ ___.... <br />public proper�y damaged ihcreby. <br />�oTL : cN�c�! L4��r•���`� o� �r/Ar�� s,�vr , <br />C�FF ��F�rcE PLAC/�/G -�,[c��-�t_ ��Z�iZ.,.��i��.�- <br />� Si_nalurc of Applimnf <br />Cc��i/C C'F r�: <br />Inspecfor's Signof�re <br />• S'/TF �h/i^�:CoG7 ////�7/ <br />Date <br />� ;,.: /-�/'!�i_,�.uTi,�'�/ <br />r� r. �. : <br />c.i(.i u i➢ <br />�:�;:_ <br />, <br />��.s n i91c�i�..,�.�n ?' i , <br />Address <br />^_r3 �- ? 7.' `l <br />Tefephone Number <br />Date <br />�_��.�:..: <br />Fee <br />DEPT. APPROVALS <br />li�� <br />Enginecrs <br />��d �t!' �� ��/ % �7i <br />VJater_ �� �•.•—� ll- l�-7l _ <br />s,«.,,, _ _-- _ . __ <br />