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��^ /I <br />/ - � -r''�_� <br />Pe:md No...._...._ - -- <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned r �' <br />�'��i��, ;.'- f'% � ,'` �'��/�;,%; ,-, __= <br />Hereby applies for permission to — -- - — -- ___ _ _. ____ <br />�/,3 // � �.- <br />At ihe following lowtion__ _ '� "- . `- _ <br />SKETCH <br />(VJork to be donel <br />� <br />� �— --- �'✓i/ .l�l�- <br />/._, ..�. , <br />everett <br />� <br />.- ;%� � �%�: , <br />� � Approved By <br />, �j: -y -� <br />%�,�Cl-'��fl3�. ,e'. � /!✓ <br />Date Approved <br />The undersigned owner hereby agrees �o hold and save harmless the Cily o( <br />EvercO (ram any and oll doims fur damages that moy orise because of the <br />inslollalion ond mointenance uf the improvement hcre!o applicd for and <br />iuriher agrees fo remove some upon nolice fram Ihe City and b reploce all <br />public property damoged thcreby. <br />DRIVEWA`! SECTION <br />NO SCALE <br />— li_• <br />�. _� <br />� I" LIP <br />�-3�T. 20 30�� <br />� <br />� � ��� <br />� :r-�,iv 6 � <br />Inspecler's <br />: 1;Ti� L=fli=Ci:i�J %/-._.'Y-T�: <br />Date <br />CN�cK- L.r.,�� rt ���'>;�' vF �i,�'t "r`t� 4'_ sE�'vr�_e= <br />Remarks <br />Variance Required <br />Yes. _......___. __.._. <br />No___..._..._. _.__.. <br />�-� - � <br />� � . ��� � ..� . � � �, <br />- / <br />Signafuie of ApplicarifF N� j/. ;, <br />�; � <br />��(� J� LS��( L�— — <br />GY/'V/VG�.'t G+? Addres� C� f1"c/�. '% �i `r <br />� 7,, � j _ ( C+��_ <br />/ <br />Telephone Num6er <br />Dafe � %J/�' ; ?. - -r - , - <br />� � ., f� -�.� � <br />8 ��L� . � ' ` <br />` - Fee� <br />f� � C', j' .� ����'��: <br />DEPi. AFpROVA'.S . <br />'�/ ; <br />Enginccrs — i�-'. /� ." � // �� ""}� �'— <br />Water_.� —Z �. i �L�.r7 /�' 7/' 7L- <br />-+_-`��`S9`` - � -�- - - � - - - - - -- -- - -- .. <br />