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Permit No. .! � � � � <br />...........----...... �.... <br />APPLICATION FOR DRIVEWAY PERMIT <br />everett <br />CITY ENGINEERS � ���j�-�' <br />EVERETT, WASH. ` � Approved By <br />1 .��r�- ' 3 /p'%5 <br />The Undersigned I`1 E I L �. K�� r-� Daro Approved <br />Hereby applies for permission to G��1 ST2 �c � s� �t_1 1 ��� D 2� �� �-� �� <br />At the following location --�� � , ` � � �J � �� <br />SKETCH <br />IWork to be donel <br />�y r--v✓ <br />C�-�IZF�F'-T <br />The undersigned owner hereby agrees to hold and save harmless Ihe Cily of <br />Everelt from any and all claims for damages that may arise because of the <br />installalion and mainlenance of the improvemenl herelo applied for and <br />(urther agrees to remove same upon notice from Ihc Cily and 10 replacc all <br />public propzrty damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />�.------ i s ' —�f <br />jl" LIP <br />r30,�� _�_3J�� <br />�lr,i � L��� <br />Inspecfor i <br />� - �r__ J 3 <br />' -� <br />i� �� <br />�/ic C'.'JEC'Kt-C� 4-Zc�-:'3 <br />Dafe <br />f=.�IST/IJG <br />C�l•'�C3 CUT <br />Variancc Required <br />Yes... _. _...... _ _ _. _. _.. <br />No.. _.. _. _ _ _ ............. <br />.` i.+,. _ � . <br />. � �����,:;,�'�j 1����= <br />Signalure of Ap�litanf <br />„ � <br />'>> i 1��:�� .� 1 <br />� Address <br />�� � "L - c._' �:� C_. <br />Telephone Number <br />�/ - i G - z �� <br />�. <br />Dale � <br />� �-%Y- �. <br />n > '� <br />� �� • ����'' ���� �� C � <br />i <br />! Fee <br />K�=. � P �'.r. �.l �—.�c. <br />�i—i`1-�J3 <br />DEPT. APPROVALS <br />�� � <br />��' ,�„ �«� � C��' Y��' 3 �': <br />Engineers � , <br />� Waler � / �ri<._�., ��,; <br />Slreel <br />, (�ommUnicCliJns .__t_.-'' . Y- .�- <br />