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Permit No. .../...�.. .�_�•..� QVEI'E� <br /> APPLICATION FOR �RIVEWAY PERMIT <br /> CITY ENGINEERS �} ' L.-, -: /�� <br /> EVERETT, WASH. Approved By <br /> iC _ � �'- ? "3 _ <br /> The Undersigned L/� �✓L-��� /L�T` ����'r Date Approved <br /> Hereby applies for permission to PLACE YA Rl7 ;URAI� L/N G 5 T�D CU 2 C3 1��A1,/✓ <br /> At the following location z � � �r=C K S � F� i �/ � <br /> SKETCH I�� � K 5 'U �,' ' <br /> (Work to be donel 1 .— --- <br /> i i�� - �— --�..����'� �K� s-rrNG- <br /> �li�-_ - <br /> � �J � ::I�F�S� j :I�E1A/f�L /� <br /> // /��� � <br /> � � ,�/ <br /> �, � ;, �\," <br /> ; J r �o� j; <br /> Q / <br /> \ <br /> I U� �\ <br /> II � 3� �' <br /> O <br /> �" I � _ � �;� SC�1c..0 <br /> � <br /> � � �\� <br /> , <br /> I y l— — ----- <br /> � i�'i I <br /> I , <br /> The undersigned owner hereby agrees to hold and save harmless Ihe City of Variance Required <br /> Evcrell (rom any and all claims for domages Ihal moy arise because of the Yes_.............._.__._.. <br /> inslallalion and maintenance of 1he improvement herelo applied for and No.._. ._. <br /> ___.___..... <br /> further agrees to remove same upon nolice from the Cily and to replace all <br /> public properiy damaged therc6y. <br /> `� , __� ,> .� <br /> DRIVEWAY SECTION �- , L/���iT- <br /> NO SCALE %�� Signalure of Applicanf <br /> i� ��9 �a.�' a��i, <br /> I'%t � f��, add�e,� /�� <br /> 30° � 30" ��� z'l---O <br /> � —='� <br /> �\ ielephone Number <br /> \ ' � �.��� <br /> �"' �C' --- /_, <br /> `�' I �'� Dafe <br /> L'�o�,t o o�t 3 , 1j <br /> Inspeclor't Signafure � v ' � � �1/(�' I���--� <br /> j ,�i } <br /> Fee <br /> .;� i T� c;l{�CK�-=L� lc� —�n -:'3 <br /> Dare <br /> ;1 DEPLJ�PPRO ALS <br /> � � � �ld F1 l.�1 L l.l:l.�� L�IJ S i f•� C. L �:: i:> l-�/�1�?/,_. l� l 5 �G:=.,r- '�.�_ i� i . �yli�.�•v_,r- r' � � � <br /> Remarks Enginccrs� / �IL.�� <br /> Waler_f- — - <br /> () h t�l-'K `'P 1 � __ Sireet � - �t, i.a _...0 -� -:t�- <br /> . , _ �. . - <br /> Communitalions - ' -�-� - <br /> Traffic.Z �`'�' � �� _ � <br />