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■ <br />___ . <br />Permit No. _ ��'' :: .........:. �;_.,�' <br />AP�'LICATIC�N FOR DRiVEWAY PERMI?' <br />CIfY ENGINEERS <br />EVERETT, WASH. <br />The <br />everett <br />�. � <br />� Approved By <br />h� /G'— ��'Y <br />Dale Appro+ed <br />Hereby applies for permission to � 1.'> F�I � '( !� , � �.� '`� _ � l � G C-� Ni ' .�T-! �'_� " <br />At the following location 28fl � �•(`l !-� 'J `ii�4-:- _ <br />I I —I ---- -- ----- ---- ' — <br />� <br />i� <br />h A � �. i t� .D [Z <br />The undersigned ownr� hereuy agrees 10 hold and save harmless Ihe Cily of <br />Everelt Irom any and all dairr, for damages thol mcy ari:c bemuse of Ihe <br />inslallalion and mainlenancc of ihc ir�provement herelo applicd fai and <br />(urther agrees to remove same upon nolice from Ihe Cify and to replace all <br />public prop�rty damaged ihereby. <br />DHIVEWAY SECTION <br />NO SCALE <br />�.---- �s -�I <br />�— f I'� LIP i� <br />30" _I_i0 `I <br />T -I <br />�»U��G�" �-�-/ - �� �lir� �71L^LL <br />Inspecfor's Si�nafure <br />s�t� �/. �,��/ :.�/�'G/���� <br />Dale <br />,�. <br />��•�� <br />Variance Required <br />Yes <br />No <br />j' /- . <br />$ignalure o( Applimnf <br />;� <br />,�. , :. <br />Address <br />� <br />�� : <br />ielephone Number <br />Dale '-�.i,•i. <br />$ � ,� � � �i3t�C <br />� �.%.'.r _ Fee <br />_7i-�'�� <br />DEPT. APFROVALS <br />Enginecrs �. N/�' C 7�' t� ��� <br />Woler <br />� <br />Srceel - ,C- <br />Communiroticns'__ _ __---_. -- --_ <br />