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P?rmit No. _ `. �._---:...i.:.. <br />APFIICATIUN FOR DRIVEWAY PERMIT <br />everett <br />CITY ENGINEERS � � <br />� �a� �' �,ti�� - <br />EVERETT, WASH. ,,% Approved ey <br />� n <br />, �. , <br />_��._ 7:7 <br />The Undarsigned � � ��, ' i' ,�� '��`-�r�'/�C-'' �ate Appro��d <br />' ___.'_... . �_r� .�I—'r^- <br />��� <br />�. 1 t. � , - � t � , .,� � .:. . ,- <br />Hereby applies for permission to -� l.� r i� �. _. `_i L��_ (,�/�/CN_ /-. r:_- L , � - <br />Af fhe following <br />SKETCH <br />lWork fo be donel <br />2 G> >'!: %, <br />' =�_=':_//`i D�. <br />,i, ' <br />�` ; <br />\ �G�� EXIS�f1fJ � <br />`! CUPf' <br />Thc und^_rsigned ownen c�reby agrees lo hold and save harmless the Cily of <br />E��arclt from ony nnd all cloims tor domages ihaf may orise bewuse of fhc <br />installotion ond mointenance of the �mprovemenf hcrelo applied for and <br />further agmes b remove same upon netice from Ihe City and lo reploce all <br />public property damaged thcreby. <br />DRIVEWAY SECTION <br />NO SCALE <br />� _ � —� <br />I" LIP <br />30" �' 7 . � 30" <br />_� <br />� ,�`��6k,;.,. � � ; � _ � `f�_ � � � <br />� ' <br />Inspecfor's Siq� fure � /,`l � <br />; ..= �.i�`�c�� <br />� <br />T /_ ( � i_ - /:_ �--� _ <br />Dale <br />ly S' <br />\ <br />�_ _ �. <br />- 1"li : <br />�`9h ,� _—__��1 � _ . . _.li.i=r,:'_.-__ <br />11;: � � <br />Varionce Reyuired <br />Ycs . . . . . . ...... <br />No. ... ..... <br />_ <br />, <br />;ignalu�e of Ap�plicant <br />./ / _ . <br />Addrets <br />��r?� _l1C / <br />Telephone Nunrber <br />-- _. <br />Date <br />a ' " -� ^� <br /><,,, ,' �� „� <br />Fee <br />/. _ <br />,� DEPT.. APPROVALS <br />�S� f � <br />Engineers �,`-;. � ... . . , <br />Waler ( . .. 1,, : 1: — r�.� <br />Str_vt --"------�- - - - �------ � — <br />