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. / � s / � � <br />Permd No....c.......-•-_-----,... <br />APPLICATION FOR DRIVEWAY PERMIT <br />everett <br />CITY ENGINEERS _^�— %� �^ ., - '_ <br />EVERETT, WASH. � Approved By <br />�1/�k.' c/t�fi�vc� ,2 ���%7 <br />The Undersigned � � �-L� � r-�- � � ' ' ���' ' ' � Date ApproJed <br />Hereby applies for permission to i NS'+'C ' �S � I.t �':=>�` i� �n ��6 �1 C�n "'�'' S f�Gr�-t�'�' <br />�� �.,J <br />Af the following lomtion �� �`'� r'I r lk'�'}= Tr�h � .q!/i` <br />SKETCH <br />fWork to be donel <br />PI1J}:ER.T�N A�J�. <br />The undcrsigned owner hereby agrees 10 hold and save harmless the City of <br />Everell from any and all cloims for damuges that moy arise because of the <br />installalion and maintenance of the improvement herclo applicd for and <br />further agrees to remove some upon notice irom Ihe City and to replace o�l <br />public property dameged thereby. <br />Inspecfor's Signolure <br />5 i T�" i�/r'(;`,i:. - , ) /C -3� - % <br />Dale <br />�-hil��� <br />h ���� c r�;v i <br />(� � <br />�� � <br />�/ �, <br />��t-a Pos �p <br />�.qT� 5 / <br />To SE �.CFT / <br />UIJ 1..oGKE� , <br />�— — — _ — � <br />I ' Ji <br />I /,• � <br />�, . 7 7 <br />� � v � <br />,1��� T� F� �. r_. <br />L <br />� U� ��. <br />:� �l� (�J <br />Variance Required <br />Yes..__.__. _....._.. <br />� No_._. ____.__.__... <br />C� <br />�"=uo <br />�.� ��" �-� ( I �� C �:� �i' C��'A �.Q � l _ <br />Signafure ol Applicanf <br />'� - <br />%�r�� .>>����1�:���� � <br />ada,a,: <br />��� �� -- -> �> �, � , <br />J.b_� ��� / i. / <br />iefephone Number <br />( L.� ��—�� /�.'� `-' ^-) . <br />Da�e' ' � . i . <br />a / E�� � - <br />Fee <br />DEPT. <br />Enginccrs ' -'� �� <br />Watcr " <br /><<, . J/ - .' .�— <br />_, _� � <br />