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�i �� � �� <br />/ ��� � � �J <br />Permi� No. _ < . .................---..- <br />APPLICATION FOR DR(VEWAY PERAhIT <br />CIN ENGINEERS <br />EVERETT, WASH. <br />everei� <br />� �� <br />� Approved By <br />/`'A2C� � /l'>_ "s' <br />The UnGersigned \(�IG`-' �'r t� ) r' �r•'a • <? <^:' ,� Date Approved <br />� � <br />Hereby applies for permission to�STA� L L i O�'To_� I�: o r_ C. o iJG � � D�1nl A/_l� O f�� �'. � T`( P�%' i`-'- <br />At the following location � G �L- ��' ��- � � ` `> ` � � 1 S T <br />SKETCH <br />lWork �o be donel <br />�� <br />% <br />a <br />� <br />� <br />u� <br />j�1�����Ji..� J�,. <br />' /,� <br />�—.,,�-r �.,tic_ nli-�� ,_ _ <br />The undcrsigned owner hereby agrees to hold and save harmless the City o( <br />EvereH from any and r" daims for domages Ihal moy arise bemuse of Ihc <br />installalion and maintenance of the improvement hcre�o applied for and <br />(urlher agrees b remove same upon nolice (rom the City und to replace all <br />public proper�y damaged Ihereby. <br />DRIVEWAY SECTION <br />r�o sca�E <br />Z�� <br />� . 4 " G' � ~ l', <br />�.AN'CG�-�-�:.'.J ��"._, ;.t�' _./.l <br />Inspecfoi s Signafure � <br />�� <br />�'/�� c,� _cKED �'5-73 <br />Dafe <br />j'7 <br />N„ <br />; --.:1F1 �r_' <br />Variance Required <br />Ycs...._ ____ .............. <br />No..... __..........._...... <br />��/ (�i'l"i?S�ar <br />, <br />�//'r.�t:.:�'.a�.yt< "�iY4>c-trY'..j:�-o��.,�✓e'-�..1:, <br />Signolure ol Applicanf <br />`f � � (✓�/�+��49.✓�'� �% ! <br />Add�ess <br />::") S ` u, / !' r,�l' <br />Telephone , um� <br />��,�L � i ? rl' � �; <br />Dafe <br />r�� � Fee <br />�Ec�' n o\� ��t C•, <br />��.�-�r <br />DEPi. APPROVALS <br />/ <br />Engineers � . w ( 3/� /� �' <br />Walcr --�'_ '-'% -: <br />Strcet <br />Comm��nt.oliai.. _ _ . _ . �_ _ . __. __.—__ <br />