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! :, <br />_ <br />Permit No..;� - .'. �d�rett <br />_..... . <br />APPLICATiON FOR DRIVEWAY PERMIT <br />;� _. � <br />CITY ENGWEERS --J ��"' � "� <br />Apprcved By <br />EVERETT, WASH. <br />S/9 Fi: 7'1� � f= i' V! C E�--� Rr�� %� ���/7`-' <br />„ Dote Approved <br />The Underzigned ��� �Ol�+ � �� %� 3� S T� R E C o, � N G� �__ <br />Hereby applies for permission to�� �' � L� C' � ��' �✓� �A r W/ T%7� '� i U�W�L�� T <br />v2 <br />At !he following location 3� O Z r7 �'� "f� Ar�E'. <br />SKETCH <br />(Work to be donel <br />-- =1-: <br />;�� � <br />Thc undcrsigned ownen c�reby ogrees lo hold and sove hormless thc City of <br />Evereil lram any and oll claims for damoges thal may arise because oi ihe <br />ins�alla�ion and mainlenance of �he improvemeN herelo applied for and <br />furlher agrecs lo remove samc upon nr•:,e {rom thc City and to replace all <br />public propedy damoged Ihcreby. <br />r r <br />In:pecfor's $ignol� <br />DRIVEWAY SECTION <br />NO SCA�E ,-'`� . � <br />�, ,� <br />�� — <br />% <br />rEP�_r, c = <br />-- -------- --- <br />V— <br />— --- � l � � � ' : <br />,.. �;i-. ��� <br />��V , , <br />r,.i•.7. t�c��.��-�,��� . <br />�. . ,.�,� .. . ._��. <br />e <br />Varionce Required <br />Yes .. . . . ._.. <br />No <br />X <br />$ignalure ol Applitont <br />X <br />Address <br />� ielephone Number <br />Dafe <br />S /`/� _._ �:-:!_ ,:�_.. . <br />