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vPermit No.''--�..�.:�..� <br /> - everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> , <br /> CITY ENGINEERS �_ � <br /> EVERETT, WASH. Appro ed By �\� <br /> 1 — 3 c] — �� <br /> The Undersigned �Y�� �''7i✓ST Date Approved <br /> Hereby applies for permission to �'r7 N T /� � C'J/�/C. ,(�,L�i I��. E �'F/1/��7 !/�, E' .[�iC��G�G_F <br /> - . <br /> ECC.� � T�/��1� c' /G ���T �r'�C,c ,i� � �71�t/N�2S E ��'EMS <br /> At the following location�r'�_ /�'��W� Tr <br /> SKETC� � i II ,` 1 <br /> IWork to be nel o �V <br /> m u � <br /> W � -- <br /> � � Q <br /> Q 36 37 3B 39 4O I Z 3 4 '� <br /> i <br /> �� <br /> Q <br /> � � i�r Pdc ro r.s� � <br /> R �c�� rEo r o �n��-R � <br /> � C� .PFN E O <br /> � <br /> � aa ea' _ � <br /> a�a • <br /> _ _ � �. � _ � _� _ � .� _' � � _ _ � .C bs �..� �'_�_ _ � _�._ _ � <br /> . __"_'--... '_.. .. �t .. " .___ -'_-__— <br /> L /GF1i/it/G Cu.t�OCilT --�- <br /> �� " P. G. CaNC• DR/✓EYVAY <br /> �/ E 1�1i / T 7- �l V E�/U C- <br /> The undersigned owner hereby agrees to hold and save harmless ihe Ci�y of Variance Required <br /> Everett {rom any and all claims for damages Ihat may arise because of the Yes._._.. ....._..... <br /> __... <br /> mstolation and maintenance of the improvemenl hereto applied (or and No.._ .._.___....__. <br /> further agrees to remove same upon notice from the Cily and to replace all -- <br /> pub'�c property damaged Ihereby. <br /> Ncrc; f'o/E �0 6N i��o� �te�! i3' �rsf � � /� �G� C�AVST l�'C� <br /> `''/ C.fc�J)f GC f"/ � / � <br /> � A '���� ���� L"i'fC r` oF Signafure�o_f A�pplicanl <br /> /'o/P 2 9 " Y%o/�i J�.:�c;' o { G�ir•�, "`�¢, I�f�E+�r`.^TY <br /> Eh'�>'�ii! ` .�;.� : �S 2 � .�'E:l�C:(��y �3L✓��. <br /> y` /'o% �i.�si.,T`� ,�/r �'ar J_,..? ,�v�>�... ,r�lf.�,�i ;��s^vi <br /> i�-<ise , fJ�/'/�to��f ��,'// �.�sr`9// 3S3 �qp � <br /> /�� 6C�� f���� 9��������y��/ ��U /�°, ielephoneNumber <br /> "/ � <br />