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j . _� <br />Petmit No. :.-�':.� -:1.- -.. <br />APF'LICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />=VERET'', WASH. <br />everett <br />Approved By <br />The Undersigned �� �� � � � `�" � �, �, `' � Dare Appro�ed <br />Hereby applies for permission to�� �� ��T �� � ��/�T f� %1�%' - ' '�' �'� ��' / ��-��`� <br />At the following location l v � �'� �' � � � `� � � �"' C T <br />SKETCH <br />IWork to be done! <br />/-�/�t�G-/-�U/� sT <br />The undersigned owner hereby agrees to hold and savc harmless Ihe Cily of <br />Everett from any and all claims (or damages Ihot may arise because of ihe <br />installalion and mainlenancc of the improvement herelo applied for and <br />(urther agrees lo remove same upon notice irom the City and to replace all <br />public property damoged Ihereby. LIG�i <br />������ <br />�} � �, <br />_ U�i- ���� / <br />�� <br />/;, <br />Inspeclor'S $ignaiure <br />.S1 T'.S �i-,�f�L�..C� /� /%� <br />Dafe <br />/ �Q � � � ��'� . <br />r�/� J�� <br />N� <br />/��/ <br />�fG <br />� . +l <br />!iDi,...� <br />�J <br />�� \Pv <br />�G % <br />C'r ; � <br />P � <br />/ <br />�`�'�, <br />Gv <br />, <br />Variance Required <br />Ycs. . _ . _. _ _ . _..... _..... <br />No_... _. ___. _...._.. <br />1 <br />� <br />'� ! �? �� ;� -:S <br />` � � �`� <br />� �(%'�� ,G ;� Jr•,.rc`��- <br />�' �Signofure oF Applicbnf <br />.n : % .1-" � . . � i'%; � �� <br />Addres: <br />�' - ^ ' <br />_'�.h' J C'�"!! o:.'C�' <br />Telephone Number <br />��p <br />Dafe <br />$ /L�(7 � F <br />Fee <br />DEPT. APPROVALS <br />Engincen��e(�` '/7�� � 7� <br />Waler �. /�.-'____-_r� '_;'`_" ' T /. . i� <br />., �� /" . <br />Sircer -- -" - � ",,."' --- <br />Communitations �r C�r3..". - -� ..,!• �—�' y - <br />. . r ,- <br />