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, <br />. --7 �7 <br />Permd No.. !._ __.� /...�_ <br />APPLICA710N FOR DRIVEWAY PERMIT <br />C;TI' EI`;,It;EERS <br />EVERETT, WASH. <br />._ __ ` <br />The Undersigned_._ ` .__.__ ___'_ _ <br />Hereby applies for permission <br />'1 <br />' i '; 1- <br />At the following location �� �-� � � `�� A� � j ' I ��� _ � `, :� � ' <br />SKETCH <br />IWork to be donel <br />qso � I <br />� i � <br />r r'�- /9 ,4.�A. <br />� <br />--=---- -- . — _ _ <br />— ---- -- — -- <br />4 — <br />,E.d'/sTiNcf � <br />--.-�/_ �,•,, , �.. _ / �'— '�� `� <br />� <br />'JO <br />��// /������ <br />� ------ <br />The undersigoed owner hereby agrees lo hold and save harmless the Cily of <br />Everetl from a ry and all doims for dnmages thot may arise because of thc <br />installalion arj mainlenonce of the improvement herefo applied for and <br />further agree, to remove same upon nolice (rom fhe Cily and lo reploce all <br />public proper:� damoged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />� �'�� AD'� � <br />�_ +I" LIP � <br />i <br />I,� 30'� �1� 30 "� <br />� <br />�p 9-/ '7� � �ezi <br />Insnecfor s Signalvre <br />evere.�tt <br />� G <br />�� � <br />Approved By i <br />� -��- ��- <br />Dale Approved <br />� �. <br />.�/O =.C,'1,=C <br />Varianc^_ Required <br />Ycs . ._ ....._ .. .... <br />No. ... _ . _ . <br />�,i <br />�..� , , <br />; _ <br />.. ;f:�.� �L - — <br />Signafure o �A plimnl <br />�rs��- �-1��;� <br />Addr ss <br />_� �-II`,�� <br />Telephone Number <br />7 _ `tq - '/! <br />Dalc <br />� '-1 � � d,.� -, ,, . <br />