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-_i_�- <br />Permit No. ' _ -.._...- - - <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINE[P.S <br />EVEREI'. WASH. <br />everett <br />�� `/-� <br />- Approved By <br />'H/ ^Y j <br />l�/'l./'!"r�/ / /. �r� �. <br />The Undersigned ! � ' 't ) Date Approved <br />Hereby applies for permission to 1 P15TA l� C. �' '' � �>�� " �F'' �t^ ! � S 'J' �''= <br />At the following lomtion I I_=> o�_'_; W�S7 i�=.`, =�:_c_,'� r 1 i�R . <br />SKETCH <br />(�Nork to be donel <br />r.� <br />�� -:�—� <br />�'•:V'T � <br />_'__. '__ ' . _(L— — <br />4 <br />���R`:���' �, ��)�,� <br />ihc undersigncd owncn c�reby agrcce to hold and sa�c harmlezs Ihc Cil�. of <br />EvereH from any and all doims for damayes Ihal may arise 6ecaute o( Ihe <br />insfallalion and maintenance of the improvement hereto applicd for and <br />(urlher aarees to iemove same upon nolice (rom Ihe Cily and lo reploce all <br />public properly damaged thereby. <br />Dafc <br />DR VEWAY SECTION <br />NO SCALE <br />—'/�' <br />f I�� LIP � <br />30" �30"_I <br />��q_ � 3 <br />��-l��f.�. <br />n <br />Vorinncc Requircd <br />Ycs <br />No <br />/ <br />�i i��-._ /, � � -�� ':.�1 � <br />..' / Signalure of A{�plicant � <br />, j C, �,t ,�.�1/ �--;��;;v�' <br />���F_', Address <br />�/ �� �� ' � �� � E � <br />Telepfione Number <br />�, �. _ _ <br />�' r <br />Dale ��. ,� , <br />a ',�`- -= .. ._ _ <br />Fr,c <br />C�:Pl. ���'�'ROVAL; <br />Engince�s .'�'�G._�.'r/��'i-,,,';'-. .. _ <br />Waler_' .%/ ,•'�—/,� _�- <br />ShceV _ <br />G...�n.,'ra... ..._._ ._ . <br />