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-�.� .���� . <br />_ ✓- , <br />Permit No . .. . .. ..........•-----� -. <br />APPL�CATION FOR DRIVEV4/AY PERMIT <br />CIN ENGINEERS <br />EVERETT, WASH. <br />The Undersigned_ /—t �— �i.-� f � /-/L _ <br />everett <br />J� ��� �� <br />` Appmved By <br />�.���� <br />Dale Approved <br />Hereby applies for permission to c v r� s 7' {� v c T �!�.i �� .'.t )?=2 s_K` ___ <br />G� �ll% �.4 D I 5 o rV S7_ --- <br />At the following location__. _. . . .�1_ ------ -- <br />SKETCH <br />IWork to be donel <br />� �� � <br />�!�/ALL � <br />�p t il . <br />� <br />The undersigned owner hereby agrees �o hold ond sove harmlecs Ihe Cily of <br />Everett from any and all claims for damac�es that may arise because of the <br />insfallation and maintenancn of the improvemenl hereto opplied for and <br />further agrees �o remove some upon nolice from the Ciry and to rr.place all <br />public property damaged thereby. <br />DR�VEWAY SECTION <br />NO SCALE <br />� - <br />�;h'(/�"C �-L ('�/_' �%,�' �, , <br />Intpedo�'s -Signulure <br />�' T-� C/-f�c'�C-�7 3-/- 73 <br />Dafe <br />Remarks <br />�> j- f�, � <br />;��-� <br />�/_� <br />j T <br />�xi�r���c,- <br />W!`�LL <br />i__ <br />7"�'t= V,nLVE �ov6r,. <br />To BE P�usH W/r.� <br />S�RtiW�f i� <br />-=� U12 FA C �_ <br />Voriance Rzquired <br />Yes..._..... _...._.. _._. <br />No.... _ _.. _.... _ _. _. --- <br />� / � �� � �� <br />X ��� � � " � <br />.��% <br />Signalure of Applicanf <br />X �/�70?/ �iA�/i',i�ct. � //T <br />d� <br />x sS�s'- l � T� <br />ielephnne Nunber <br />`� 2 0? T �7 " � <br />rt <br />• Dafe <br />s /vo /=,c� _ <br />� i <br />Fee <br />k, r '- '.,' � � = �-x t <br />;� — J-"� - -7-� <br />DEPT. APPRO ALS <br />/� • % <br />Engineers / I l 2 3—� -�"�j <br />v r-7 .— 1 '> -- <br />W ater ___,:__qTi- <br />Shecl r ` "''"'^'-{„' ._ <br />Communicafions ��r' -' �-�w"'�"� ^ �'�'�-�_ <br />_.. „ . . : � , _ . . ._ . - <br />