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Permit No. ..! . �.J..'..Z� 1 NVEI'@tt <br /> APPLICATION FOR DRlVEWAY PERMIT <br /> CITY ENGINEERS , �,(����.� <br /> EVERETT, WASH. � Approved By <br /> y ��:,�,,-�' �3/ %�'7� <br /> The Undersigned_ V`�� �->- ��" -�= � T � _ _'�a�e Approved <br /> Hereby applies for permission to INSTA /'-. �� �T�-- i- ' � }� � ��''� '� 1'�(� f `"-'�""~"�`' <br /> �o l #_(t= Ie1AT�r� r/ h � ��l nrl M�.v�_r-. <br /> At the following location ��= 3 � ��r',�*� <br /> — -- - � <br /> SKETCH I � <br /> IWork to be done) ( �"o <br /> � <br /> � <br /> i � v I <br /> _ _ _ _ _ _ __ __ i ,�=40. � � � <br /> � _ ___ ___ _ � ! � i � <br /> � � � �� �� <br /> � Q. <br /> __ _ � � <br /> � � <br /> � <br /> � ME-rCR-�.Jn!.i,-i- i-c:cq-tior.r I <br /> IL ' I ANG!'nj . %i0'lVEST n:' � ei A,puGL � <br /> "_"'_"'____'_'_—"1_+ _, _ " <br /> I __'_ _ _—'p._. '__" '_ _ <br /> � i �tl .�^ <br /> 1 U f I�� <br /> � N I <br /> -.. __. ' . . ___. . _ i '7'C1.�. irIN4- I <br /> __'— P(2Afa1� 1� ,�Jf� ' <br /> 51 Z E (v G E D F'1"E IJ"1�4JEr'� <br /> fiy T�! e p�r�6 . . .;tf�ecror�. <br /> � � � � �Tr?�.�-"i=- -r- I <br /> r <br /> __ _'_ ' '__—_—'_ _—'— _-'_"_'_'__--_ ' ___ i — <br /> I � i <br /> � <br /> The undersigned owncr hereby ag�ees Io hold and sove harmless the City of Variance Required <br /> Everc+l (rom any and all claims for dcmages Ihot may arise becauic of thc Yes .._.___.._. ..._... <br /> installation and mainlenance of Ihe improvement herero applied for and No._. . <br /> .. ... .. _._..... <br /> iurther agrees to «move same upon notice from Ihe City and to replace all <br /> public praperty damaged thereby. <br /> _ '��i..1D � �. � <br /> DRIVf:WAY SECTION / � �� <br /> 2�/. /J� / �,���f <br /> � NO SCAL� , ' �J Signature of Applicanl <br /> � ", i .. S �^� 0 T v /0 '�J�= <br /> �"G 3 i � <br /> �� 'I��IP ygp r� /���� S,�ll. Address <br /> 30"��J\�� .�-30���� c.+e.e� <br /> �,w,.,, 7 4'S- / � 7 b <br /> � �����, � f�l J �,.. ielephone Number <br /> / <br /> C:� c7- � , / j7; <br /> ,����) Dafe � <br /> ,,_ . �.� `��,:z a ; �;��� .�� <br /> , <br /> Inspedor's Signalure � I� � $ �v " '^�� <br /> t � <br /> Fee <br /> !' � .>�_ �"i_. <br /> T'Th` i� �!/�l-i:i�%� ;�i. < , i <br /> Dalc <br /> T:•. �. . � DePi_APPROVALS <br /> .�.i _ `"'��/ . /�j;.','� ,-% <br /> Nemorks � Enginee�i� � � — <br /> � Watcr O` � �" �,f—_ <br /> Slrect_ ., / . -� ..�.. _/-.�. .. <br /> � Communic6tions !f- i' i. : , • <br /> � � <br /> � Twf(ic--=....�- -- � -- — <br />