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_ <br /> _ P��m�x No. _- ,. _.- -__......:__. evere <br /> APPLiCATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS " 'G � � ��� <br /> EVERETT, WASH. - Approved ey <br /> � <br /> The Undersigned - Daie Ap roved <br /> Hereby applies for permission to ` � i�` ' � <br /> � //_ =, _ . � ,F <br /> At the following localion ' <br /> . ; <br /> SKETCH l' �.,' <br /> IWork to be donel I!�.' <br /> _ - — --� 'c• - I <br /> � `� <br /> 3p1� � � <br /> \ <br /> m V 6• ()1 A <br /> I <br /> � � i - - <br /> ` /.��cEY <br /> ' . . .r�E'-�_. - K,=�n-vr- C,vr-C . <br /> .,,�r—� � � � <br /> ,-_-�- - (�; ` =------ ,� <br /> ���� <br /> . ..,.r �',v,>k�Ay -rc C�r= I <br /> ' �"h AFTF� ccN^_FET� � <br /> r- a� cousrnvcr�D I <br /> - — � <br /> i <br /> The undersigned ownen c�reby a�rees lo hold and save harmless the Cily of Variancc Required <br /> EvereN from any and all claims for domages �hat moy arise because of Ihe Yes . .. .. . _.... <br /> insfollation cnd maiMenance of ihc improvemenl hcrcto applied {or and No .. .. . . <br /> further ogrces lo remove iame upon nolice (rom thc City and lo reploce all .`�„� 3 <br /> public property damaged thereby. � �?�-• ' <br /> ..'�i.iF':-�..:,�.:f SCCTION <br /> (3�JG . SCdL_� ' Signalurc ol Applicanf <br /> :nRivc��Ar ssc-r+o� :: <br /> I �.�--� } <br /> �n—•-• — ' add <br /> , ,, y .. �p_ '� ress <br /> �. f. - '.. _. _._...... ..._..._ � ��� '. _ . _ .-.-.._ '_'__}�_'_.-.— . <br /> � �_ �, ^ .. �:. � ._ . _'�_-- � . �' _ <br /> I I\JA I b( <br /> ' !�_��,. . . .. _::r . __c� ,,,,,� . .: . .. , .--. —�I ielephone Number <br /> i � � �;.:��_..._��...•.r� 3 -/O - 7/ <br /> � -- - -- � rin: s�ni�l.._J.. oa�� <br /> f'.. <br /> Inspetror'z Signafure S 'r � ' � <br /> Fce <br /> �>iT�C,is"rC.:c'._=/) '�il7J <br /> Dare <br />