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�,.i;mit No. �'�..--...�_�l '--�. <br /> everett <br /> APPLI�ATION FOR DRIVEWAY PERMIT <br /> � <br /> ' �'lJ� �i <br /> QTY ENGINEERS — —''��..����/� <br /> EVERETT, WASH. <br /> � � Approved By <br /> ,n��L ¢, /S''��f <br /> ^ Date Approved <br /> The Undersigned_ �� I M �l--�Ml71J��1 S <br /> H.�reby applies for permission foP1•II�E I'�IRKCNG__/���Q/� ``t"'i ��LT � O tJ G lTy Pp�PE1.1_'T'•.a <br /> At the following localion , � z-5 '��1��kRT� �� �� ` <br /> � SKETCH <br /> IWork to be donel <br /> ---------- -------- - / <br /> 2a 2$ <br /> j / tJo <br /> d ���,�:� <br /> ,,,.:'' <br /> b�- .� �� � <br /> � i�rzs ��'� ! , i / <br /> �� �;�� � � �-, � <br /> � , �, � <br /> O CXIsY �� WATER SEP.VICE - SE.'E REMARK�� BELnW <br /> � I�R.�vEW�A`S � PnoPosen P,av �Nu <br /> I uJ - - �8�— — ; SERViGE �3ox /wFTE�2 N��� ni <br /> 3 ��� -_�--—__..�=.6 <br /> - - -�- - �- -- --�- - - --�--- - <br /> I ��� - - -- - - - - - - <br /> � �-i o w/�czo �v� <br /> I <br /> I _ ------- — -------/ <br /> Thc undersigned owner hereby agrees to hold and savc harmlezs ihe City o( Voriancc Requircd <br /> Evcrcll from any ond oll doims far damages ihal may arisc because of ihc Ycs _. . . . .. .. <br /> installalion and maintenance of Ihe improvement hereto applied for and yo . . _. . <br /> iurlher agrees lo remove same upon nolice fmm the City and la replace all <br /> public properly damaged thereby. <br /> \\ <br /> DRIVEWAY SECTION � / � � ,,,,, y;_,,._ <br /> NO SCALE � � � � Signalure o! Applimn� <br /> ��-- � � � Z-S- ��Gv-a,.� <br /> " ��g� Address <br /> � 30':�. ' ,--•�•a°�� -�, 5 S — �y 2Y <br /> � ielephone Numbcr <br /> � <br /> - _ ? - � � <br /> —� -- �� .�.. <br /> . . . .. .., . .. . .�,. _ - <br /> _s._ . .r_ ... ;.: ._ .. .�� � ... .. _ . r ._ .:.:.,.. ._..: .� � <br /> .. ..� . . _� . .; . <br /> . ..,:,c..... _ ..,_ ... .......u�.. '. ' ' ' '_ _._.�. . ._ :.�-... . ...... .. ...._..4.-. a::._. ......-. ..,:. . � <br />