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Fermii Na ,..� tr.::..: __ __: ;, <br /> everett <br /> APPLI�ATION FOR DRIVEWAY PERMlT <br /> m <br /> r=. <br /> - ,- <br /> -��_ <br /> QTY ENGIiVEERS ' ,-�`, <br /> EVERETT, WASH. Appv ed By <br /> �� r Y �✓� - �� R,�u�S PP �e , ���� <br /> i <br /> 0 <br /> Tke Undersigned , .== � • ' ' " r� a�e A ro�ed <br /> Hereby applies for pem;ission fu �s���� r �2�� ' <br /> / <br /> At the following ,a�a��o�, � O / co � �r ,n,; ` f^•r' <br /> �..._-_� -- , _ _ _ <br /> SKETCH <br /> IWork to be done) <br /> � 1 iZ.S <br /> 1 <br /> v i � <br /> � I - � i\ �,_i�:0 1�•--i V;'!�J i:� �� C�.1'' ` ,_ ' ��; - <br /> 3 j��l� i"�%' � <br /> p' — r �^ �� % ( . ./A; � / � M" . � ,�� <br /> - ;�' �� I <br /> � i = �o ' <br /> --__. .� � .._.. _._. _ � <br /> <; <br /> \� �. <br /> � ---- _ - - -- - -- \\��,,, <br /> G, .,-r .� \ � <br /> .. r�; .;�n1ri� <br /> i ,. ro� �vrnER LINE <br /> _ _i,YluNS [3LFORE EXCkV,�i�lp;. <br /> ��� �. 4 �, ,, �� � ��� <br /> Thc undcrsigned owncr hereby agrecs to hold and sovc harrnless the City of Voriancc Required <br /> Evercll from any and nll daims for damages Ihal rtwy arise bemuse of the Ycs. ._._. <br /> installation and maintenance of ihc improvemenf hereto applied for ond <br /> further agrees to remove same upon nolice from ihe Cily and to reploce all Na. .. .___...._..._. .. <br /> publie property dartiaged Ihereoy. <br /> —�1;' . /� . . • /'� <br /> t � '���� � .� . / <br /> ..- I ,��C�.;_ �.�� r:��:,_ti."i" i_. <br /> . ' Si„gnolure o( Applimnf <br /> „ I G.' ! � �,' C'r . ' �, <br /> Addrest <br /> � �. — ? _ (�C� / r <br /> ielephone Num6er <br /> � Dafe <br /> �/ /�-:, � ,;/.f[lGt..�.i,. . <br /> InspeUor's Signalure $ ?,�� �__, � — � '7 "%! - <br /> %, � <br /> ' ' Fcc <br /> Dnte <br /> DEPT. APPROVALS <br /> � / � I�1 <br /> . . I .— _ ____-- __ __—_ _ �.,- . � "1 _l.' �_ <br /> , <br />