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Permit FJo. ...7L�-- �Q�.- <br />APPLICATION FOR DRIVEW�,4Y PERMIT <br />CITY ENGINEERS <br />EVERETf, WASH. <br />Th U d ' d <br />everett <br />� . <br />i <br />Approved By <br />G — G— 71�' <br />Dale Appraved <br />e n ersigne <br />/ <br />C o.�•+ s T� [1 r T 3 l.�� D� C�.c%� ��� ���=" <br />Hereby applies for permission to— <br />S / " <br />At the following location <br />SKETCH <br />IWork to be done) <br />wt�rFE'_ . <br />-, ,= ,�� vi c�= <br />N� u� <br />Cc7TiC• <br />5 /l� l� u.� i� �" <br />�1N�t�!.���fi <br />The undcrsigned owner hereby agrees to hold and savc harmles: thc Ciiy of <br />Everell from any and oll claims tor damagas Ihat may arise 6ecause of thc <br />inslallation and maintenance o( the improvement hereto applied (or and <br />further agrees to remove same upon nolice from the City and to replace all <br />public property damaged Ihereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />�—I" LIP <br />L ' <br />r30'� _�_30" <br />l'...�,,,li(F �, - 7- 7S',��M, �i,o-u _ <br />Ins�r's Signafure <br />�C��Ci.'1� Cc"- `i �'% /� i�„' <br />Dafe <br />Zo' <br />r�. U t�� � <br />:`i <br />GG <br />Variance Required <br />Yes <br />No <br />_.1 � � <br />J <br />' Signalure o1 Applicant <br />� �f � t� � � �/ � I � ' �'1-,; � .5, ��;- <br />Address <br />�;''�� -i �'� i r�. <br />Telephone Number <br />/ y i R (/ -' / r;' -, :_/ <br />Dalc <br />a N o � G-,E. <br />`:_,,� �_ - :.1-7:r <br />Fee <br />DEPT. APPROVALS <br />�f;�_; %r��:E:._y- ;y <br />Engineers — <br />Water • �e-- <br />•r . <br />$Ireef " � -...�.,r : � <br />Communicalions.:iL� "�' `� � - <br />