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,-�� , . . � <br />Permif No. �.._.--4'---::�._.... <br />APPLICATION FOR DRIVEWAY PERMIT <br />everett <br />CITY ENGINEERS ��-D��� <br />EVERETT, WASH. / Approved ey <br />f / J�!% ' % n �9� <br />!-� " -' Da1e Approved <br />TheUndersigned y'" -�"���� — ,�`" <br />Hereby applies for permission to <�/v S%� �/' f �- '- r <br />Af the following location `-� �`� � �� �� � � ��� � �� "���� <br />SKETCH <br />IWork to be donel <br />� <br />C <br />E�C�S `;'n/G �:_'' , �.. '�,/ <br />— _-,,^,,.; ,�n! <br />��_;� �� " <br />���,; _ <br />0 <br />The undersigned owncr hereby ac�recs Io hold and savc harmless �hc Ciry of <br />Everett lrom any and all claims for damages that may arise because of the <br />installation and mainicnancc o( thc improvemenl hereto ap�lied for and <br />(urther agrees lo remove same upon nolice (rom the Cily and lo replace nll <br />public properry damaged Ihcreby. <br />; <br />. . �, � e�,� l�.el, <br />.�.��,�-�iG, <br />� ---- - -.-.••----- _ _ _ _. _ ._ <br />SfR{VCW/3�'_ SECTION__�- <br />� 5� <br />� j�--- -2 ---� <br />° � . .. _ _. . � <br />� y`� ._ w.� r r� <br />� P!� _.._ -- <br />� <br />q <br />. ._ .. _. �.� <br />� �.1_Q`.��c.a�C.. '- h�.. . . � <br />. __..,.��� <br />Inspector's $ignalure <br />:3�`lta <br />� <br />�' .�. <br />f``- <br />Variancc Rcyuired <br />Yes__ ...._......._ _... <br />No. _. ._..._..._. __. <br />�• � <br />d C_� ; <br />�,�y�; ��,(" l��% d,l �.,, <br />f Signafure of Applicanl <br />S' 3 c 7 lC %�i � �, /w v.� ��' <br />add�es�' <br />3 s- 3 - �� �' �� � <br />Telephone Number <br />� / <br />, �;r. � � <br />Dafe <br />e <br />5 %� � i' �. �.� � : � �" , <br />