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-� —/,,, <br /> 'PermitNo. l..,%.`��.�.'-..' everett <br /> AP�LICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS �;�LG/�Z�L� 1 � <br /> EVERETT, WASH. Approved By <br /> ' .3 <br /> � _ �,, -^- �• ?/ G ;" _ <br /> �, _ �11�i.�.._:c <br /> The Undersigned � �T '��� �-< <`� ! Date Approved <br /> Hereby applies for permission to �� NS T/? /-� 25� �-U� ��L� GonJ c� . /� /�/�/ �{�/y �J <br /> At the following location Z�� 2� P I N� C S 17 L� ) S f`f-�(� F•-� 2 R O�= �'-�"�'.J � � `7 <br /> SKETCH <br /> (Work to be donel — � <br /> p � �Vc� _ ;jo� r,�� _��,,.� <br /> -- --- � nsQ�P�� , <br /> � <br /> ��,oa T�n/G <br /> �' —_ <br /> � _.. ;��i-c-��: �: " , �• ,<_ <br /> � <br /> _� ��: <br /> rl l��` �, <br /> �°c QP� �t2�' <br /> J <br /> d <br /> � <br /> The undersigned owncr hereby ogrees 10 hold and save harmless the Cify of Variance Nequired <br /> Everelt from ony and all claims (or damages that moy ari:e because of the Yes <br /> .._. ._.....__._ ...... <br /> installalion and mainlenance of Ihe improvemenl herelo applied (or and No..._. <br /> ........_.._........ <br /> further agrees to remove same upon notice from the Cily and to replace oll <br /> public property damoged thereby. <br /> DRIVEWAY SECTION ,J� t , ���'�`-L� <br /> NO�S�LE� t. . nature Applicant <br /> ��— � � .� .; , � � ` � <br /> � � r <br /> + �� ��P � ddress <br /> r30pT' 30 3 `��3 -2 � � � <br /> Telephone Number <br /> a � 9r� <br /> ' � ` � V' 7 3 ��-- Dafe <br /> b � -� ~� <br /> Inspecfoi s Signafure , 5 �.-:.-- � � ' <br /> / . <br /> > . , � � � ��, � Ci,��. '��=� /�� .. ; � �.�` _.. - . Fce <br /> �r � ;/.", i � . <br /> Dafe <br /> DEPT. AP^OOVAIS <br /> Remarks Engincors �- � ���' � �� <br /> Walcr ( '� "-� �'/"/'��Fr:�_ <br /> ��. . . .- . SIrcM " '�' <br /> � <br />