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.._ � <br /> Permit No. ........--�--•• -••I--� � everett <br /> APFLICATION FOR DRIVEWAY PERMIT <br /> s <br /> CITY ENGINEERS - p�� <br /> EVEREI?, WASH. '-= Approved By <br /> ('�f�NUA/?��q �rZJ <br /> The Undersigned � o t� �L-. . �� t ' - Date Approvcd <br /> Hereby applies for permission to 1 NS'TA1—L. A 'L$ l.�) I �c S�'�i�'.��L.�-�-�'`�"� <br /> At the following location Z 9 �' � Qf'` �1 � � � ��-� � � �`V b — <br /> SKETCH <br /> (Work to be donel <br /> ___. �/�,l c�r�✓� o rz� <br /> � '� l4�TG1'l ET� `T/.✓� <br /> ------- - - j. <br /> ' cUT�t� � c/ � <br /> I��_40 <br /> � �2 � 4 <br /> 7� <br /> n1 <br /> Z 41�G <br /> od� uNv-. _U Y� ria�r � <br /> EK�S 6 /lIV�4cJiai` y` _ PG�SCf_. <br /> ,, �.. : WlT7-1 SrAN`JF1 ' 51J�+�r1c.K� <br /> \ ��' GU 4 GrJ TE . <br /> � � �\ <br /> w <br /> � <br /> ;� � <br /> �� <br /> �� <br /> / <br /> I <br /> The undersigned owner hereby agrees to hold and save harmless ihe City of Variance Required <br /> Everetf from ony ond all claims for damages Ihat may arise because of fhe <br /> Yes.._.__......____..... <br /> installation and mainlenance of the improvement hereto applied for and � <br /> No...__._......__._.... <br /> further agrees to remove same upon notice (rom the City and to replace all � <br /> pub:ic properly domaged thereby. <br /> DRIVEWAY SECTION '� � � _, �� <br /> NO SCALE .�`�':) ; - Signalure ol Applican! <br /> � 25 ' -� ��.-,c <br /> I" LIP r 3 7 7 �,G` J��., %r� <br /> Addrest <br /> n I <br /> ��':}. . .30 .1 ;3 �/- r/�y� <br /> Telephone Num6er <br /> � <br /> � ,r� /j //" �� <br /> / ,�✓' .K+ -a ... Dafe /�.4/0 /-/7 �7 S <br /> l./ti� L.1?l'f� F__ � -/,��"�i'7 s� ���C. <br /> a��- <br /> Inspecfor'• $ignalure ')--� � S � z. .�F�- <br /> lL �'`��,- <br /> F�e <br /> . sir� c,s� ..���. � -�y-� ��_. , � �,,. <br /> Dale 1'�^.x'_:� .. '.�I <br /> �EPT. APPRO LS <br /> ���c�l / /-/973 <br /> Remarks Engineets_., <br /> Water "�/Y.7 �%, �/3- 7�- <br /> $freel cj�... �. /.",� i.� „�.. . <br /> .. �, _ � c' <br /> Communicalions —_____ <br />