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Permit No. ..1,_ _ .:�--------- <br />CITY ENGINEERS <br />EVERETT, WASH. <br />APPLICATION FOR DRIVEWAY PERMIT <br />. � i yt C.` i . � ,_ <br />everett <br />,. <br />'-- Approved By <br />��.d'�'.�//7�.E .�� iY%j'� <br />The Undersigned �`'F- i!A � Ur2 `- ;' Date Approved <br />Hereby applies for permission to "' ''�`� % � � �- %T,�i - �' �` % ��% ��f � �� �- -; <br />At the following �ocation ���=- — r� ND� Sv /''! <br />SKETCH <br />lWork to be <br />_ —"" I <br />I <br />n, <br />r I <br />—__l <br />� i <br />�o <br />N C <br />� A <br />M �4 <br />N �� � <br />f�� � <br />--- - -----'" n <br />Q <br />� <br />�' p C�/ r_, i�. r <br />l �_ '" � <br />� i� <br />__— —C. <br />� -c-- �- <br />--- I �\ -- --.��. ___.---- <br />���=GO� <br />The undersigned oa��er hereby agrces lo hold and save harmless the City of <br />Everett (rom any and all claims for damages that may arise because of the <br />inslallation and maintenancc of the improvement hereto applied for and <br />(urther agrees to remove saine upon notice from the City and lo replace all <br />public property damaged Ihereby. <br />Inspector's Signalure <br />S7�_�iS��G.:'r J i���f/� <br />Dafe <br />=�'�': <br />L��i'... <br />Variance Required <br />Yes........ _ _..... _..... _.. <br />No... _. _. _....... _ . _ _... <br />Signalure oF Applicanf <br />� <br />��.�-97�� <br />Telephone Number <br />_ �/' � / <br />_ ... �l���c, �,� / % �/ <br />Dale <br />S %/� � =� j � /_._ �_ <br />� <br />Fee <br />DEPT. APPROVAL � <br />i <br />� �/ <br />'� .i� ;�1?G.- � s <br />Engin�rs <br />�;<wa����:.��.t✓. ��—�y--'� — <br />sr«�� _ _ <br />