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Permit No. „L....��f_� � <br />APPLICATION FOR DRIVEWAY PERMIT <br />everett <br />CITY ENGINEERS �� K <br />EVEREIT, WASH. Approved By <br />� — Z8" %T <br />The Undersigned ���I iJ ��% ���L �C C Date Approved <br />� <br />Hereby applies for permission ro �N ST� . � - � - � � �'tllil �� � — 3 ,A--h L� 'r'� <br />At the following location <br />SKETCH <br />(Work to be donel <br />� - <br />2 <br />�s {Z � �.d <br />p�w Ao� TI\�1T <br />w a s N�� r o.� <br />n�= ��.� ; r � <br />�,,� <br />d/-/C -'% <br />_ �� <br />NO <'._,c_�.E <br />The undcrsigned owner here�y agrecs lo hold and save hormless ihe City of <br />Everetl from any and all cicims lar damoge� thot mny arise because o! Ihe <br />installafion and moinlenanc� o( Ihc improvemenf herclo opplied for ond <br />furlher agrees io remove same upon no�ice from the City and to replace all <br />public properly damaged thereby. <br />DRIVEWAY SECTION <br />N9 SCALE , <br />{�� - y •,`� ��v ��J <br />I /- 3' �ioo' � <br />� I�� LIP � <br />r� 30'�� 30" <br />�v� <br />-- �'v e — - — ---�— <br />�x���-'���� �N�'T�: �Ex;�.T,,,• f 3/K1 <br />l-�Y1Vewr��./ I %� h� s/'�W-cc�f <br />��, � .'� <br />.iJl�' <br />Varinnce Required <br />Yes... ..._._.. __..... <br />No.__. _. ..___. <br />, . � <br />�.i�:. ;',. . . . . � . � <br />. Signatuie ol Applicanf <br />Address <br />Telephone Number <br />t . . <br />