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.�� �. F <br />/ ! _ � <br />Permit No . � -'-..--.--..._ .J.. � <br />APPLICATION FOR DRIVEWAY PERMIT <br />CiTY ENGINEERS <br />EVERETT, WnSH. <br />The Undersigned �-� �� `��', �- �i =!-'�f�(' i�(�.. _ <br />everett <br />%`.- ,/ . <br />;,. � i�r, ; ;. <br />� — " Approved By <br />c iL- i , i';-=,E' i:� �- <br />Jate Approved <br />Hereby applies for permission fo �%n �-1 ST � � i' t T. , '- T =� �. =% �' ' , � ," ' ' /! , r u= . _� •. ) <br />�,-r�� ��F�i����. � J <br />At the following localion % 9? � �'C�%1= (�-L`� � L� J_ <br />SKETCH <br />IWork to be donel <br />�i�c <br />, > E�l, r`> L�J I_� <br />�Pr�C.�-r .�.-.0 <br />i--cEX�sriNG <br />IL/��T=� � <br />/ I <br />NYaK�n�r--/ j I <br />�'��--�k WATEK ���ALV�—' <br />i <br />gox 7-v SlneH/,�tLK C.�f��\nE <br />The undersigned cwnen c�reby ogrees to hold ond save harmless Ihe City of <br />Everelt from ony and all claims ior domages Ihot moy orise because of the <br />inslallntion ond maintenance o( the improvemenf hcrelo applicd for and <br />furlher agrees lo remove same upon notice from ihe City ond lo reploce oll <br />public property damaged Ihereby. . <br />� URIVEWAY SE <br />NO SCALE <br />I , Y.. I <br />� I"'LIP �� <br />30" ^�'.. � 30" � <br />wi.—�I <br />Inspecror's Signalure <br />.� iTr C.,=..�-1�)Ci_�t� '�--i: S'-7�. <br />Dalc <br />� <br />�..t�.,i_ '� �:��.,L!L <br />5/DEWq4K <br />/ % <br />. p / .� <br />r�?i \_ <br />1 E��, <br />: <br />� <br />i. <br />i� <br />�'� <br />= s�= <br />Variance Required <br />Yes.._ _ __._.. <br />No. _. _... . <br />J" <br />i ,/ j_/ <br />�i�/Xa: -C i--�.�`r y��.t.r_ : , ._.. <br />. Signalure o/ plicanl <br />. . , , �- � �. �, % ,.�. <br />at�n-F � ,r }. <br />Address ` <br />3s 3 — �. J -�-_ <br />Telep ane Number <br />_J ��: �l�/%�C'� <br />-, � <br />/�_ � <br />�� n <br />i� �''. <br />r=�'Vl�Gi�:�T/UL.� �f�"�C'��/� _1���%oi�� — <br />. � <br />..�- '� �- .._" ' .y'2.- <br />Dafe <br />E <br />Fee <br />� <br />/',..: G. �� i : �� f ` . _ .e. <br />DEPT-APpRf;VALS . <br />� � . /�c: J . , <br />Enginecrs����'"�/- ' � "I'=� <br />,4.Waler_ r �^ � rt - b,i _' %/� S- <br />- F ! ,l .w�a-k �, �J'� <br />s�recr �{ � `'. • ti <br />C�mmunications_:__ � ' __.__ <br />