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Permit No. _. �: �P.1�_ '-� <br />� �.......... <br />APPLICATION FOR DRIYEWAY PERMIT <br />CI7Y ENGINEERS <br />EVcRETf. WASH. <br />The Undersigned (til �r � <br />� �1 a'{ C� i'% � � :'��,n i i ��� rd l, c�j �.t 1 <br />Hereby applies for permission to_�._.S� Q ,� <br />everett <br />, -�;..: ; � <br />�- �c�r�`:� <br />-" Approved By <br />�Yi7�-�'_,_G•Si �"�� /i;%� <br />y)ole Apprcved <br />At the following lowfion �< < � / �� �' � �' � �"� -- <br />�' FI -f- <br />SKETCH <br />IWork to be done) <br />CI <br />-- -- - -. . <br />i <br />20 ' <br />� <br />_ ---- -- -- � <br />1 �j <br />Thc under3igned owner hereby agrees tc hold ond save harmless fhc City of <br />Everelt from any and all claims for damages thal may arise 6ecuuse of Ihe <br />installotio� and maintenance of the improvement hereto applied for and <br />furlher agrees to remove same upon notice irom the City and to replace all <br />public properfy damaged thcreby. <br />v<�✓Ay:.�_:SLC <br />(IJl3"�.:�-.g C A L � � <br />,^1 ! <br />�G:� ai .... 1�-^�,',� <br />� j� ��.���. ' . �...__-. � � <br />�. <br />Inspeclor's Signafure <br />`� i i F �'.� - �'i: r �� c� �; ; ?� <br />Date <br />I <br />�� .� <br />��/ ��l <br />Variance Required <br />Ycs_ _. ........._ _......... <br />No..... _._.....____._. <br />�,,�,.,.'F�-l% '�r;,..._:_. <br />ii... �,!_, <br />Signufure o� Applicanf <br />32� �� 2 ���H ; �-„ - - <br />Address <br />__��3� ���,� <br />7elephone Num6er <br />�_,_._� •� i ;� -� / <br />{., Dafe <br />S '1 /-F E .. <br />Fee <br />DEPT. APPROVALS <br />,/�I s ; % , <br />Engineera��—� A`�/J' �/'-�'" � >�' <br />Watcr � �... '" ,f� � Le�� �: . <br />Strrol—_ � � . <br />