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_- :— , <br />. .:,.::_ <br />Permrt No..:r-.''! -' <br />...........__. <br />CITY EPJGINEERS <br />Eb'ERE?T, WASH. <br />lhe Undersigned r/• �`` ' <br />Hereby applies for permission <br />At the following !ocation <br />SKETCH <br />IWork to be <br />� <br />Q <br />U <br />everett <br />APPLICATION FOR DRIVEWAY PERMIT <br />Approved By <br />Dale Approved <br />��.� , - i— ', �� <br />_ — M.4 I�� �,-,, <br />— �`'1 L._ _' — <br />I I <br />�ihe undcrsigned owner hereby agrees to hold and savc hormless �he City of <br />Ev�re!1 (rom any and all daims iur damages Ihat may arisc because of ihc <br />installation and maintenancc of Ihe improvement herelo applied for and <br />further agrees to remove same upon notice from the Cily and lo reploce all <br />public properly domaged thcre6y. <br />OF31MEe�2,Y. �_-SECT/OH � �� _ <br />(Rlt1.'_-SCALS ) <br />i <br />�_.i _� n <br />� o <br />�' L--_--' -��!�'-- <br />. ��"+—" <br />j <br />Inspecfor's Sic�naluie <br />Un'c <br />P,emarks <br />D <br />Q <br />0 <br />��� <br />} .6Fll':L\�AY-SECTION�._�- <br />� k"._----- � <br />�, 0a4 <br />L ! ` ._._.i • .' _ __ , W <br />i <br />�.___..._.____.__.._.�i`��'.:.5_esla �tTl— <br />�M/ �ld <br />;e_. <br />. . - ./�s„LL <br />L�.rr - <br />i ��_ <br />Variance Required <br />Yes....._._.._ _...... <br />No_ . _......._._...... . <br />�� � ' �� .- 't�� �f � <br />Signafure`ol A�plicant <br />/U� � � i�1 u`��-'� <br />j Addrez�( J <br />)�>,'-4-1 l �' ��:.':1.� lf � � =3 _"� <br />� ,. �i C'� S ��iG'% <br />ielephone Number <br />$ <br />Dafe <br />_� �' <br />Fee <br />[��?i. APPROVALS <br />En�inccrs _ <br />�Watcr ( : ' . . . _ .. ... , <br />Slro�i �-'�—�— , �.-., �- - - ---. �_ _ ... _ <br />Ccmn,.0 ;ic�lior..lf�,.l�^+•.t�..�-c._����=^ <br />