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Permif No��-/� <br /> - everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> � %' � <br /> CITY ENGINEERS � �j� <br /> EVERETT, WASN. — Approved By <br /> �"�a��Js�Rs� � j�7� <br /> The Undersigned � �- Ay Tn I�L L 'E N��I I� C Dale Approved T <br /> `� � <br /> Herebyappliesforpermissionto C�r��sT2 .. 11.100 � 3(n �-�-f � f-! �"E�f��C �c> n-.'.) --.! C ; r�--�l�, <br /> At the fol lowing localion � o o Z Q{.���S" -/S.�� ' <br /> 1�._� ��•r- <br /> SKETCH --- - 1� 1•�n sc;�'•1.�-------- ---------- /� <br /> IWork to be donel <br /> OAK� � P�V�'. <br /> —� - — -- ---- _--�_=�=-=--� =__-- -- - - - <br /> --- ---- - --- -:,_�__�.__--_- <br /> � ' -- - — ------ - <br /> , �( ------ <br /> , � <br /> � <br /> Y � <br /> � <br /> 3 � <br /> W <br /> � I � Z��� � <br /> � �,, w <br /> :fl. rx <br /> s � i i <br /> � � " �� y-ItG►-1 'FEN�= <br /> G�',,r-�t`,�. _ -� <br /> N I :� � ON C �-c� PP_.OP. <br /> �jl x _------ ---- ��� -�_"' 2 <br /> � , <br /> The undersigned owncr hereby agrees to hold and sovc harmle:s thc City of Variance Required <br /> Evere11 from any ond all daims for damages Ihat may arisc becausc of ihe Yes.._._..... .. <br /> . . _._ .._.. <br /> installotion and mointenance of thc improvement hcreto applicd for and No <br /> further agrees to remove same upon notice from the City and b mplace all ��-"�-�-'---�������--� �� � , <br /> public properiy damaged there6y. � <br /> 1—L I-.7<. i r L. <br /> \ .�..:�,:.� 1 ; . I <br /> � ,\ DRIVEWAY SECTION ' �;- � L �•; ,- . ` i <br /> �. NO SCALE uT. , .=f j'-'�,'t" <br /> � � �� $ignofure o/ Applicanf <br /> �„�L�P� .. r: - ) ;'/;, �H.r t f7, ;;,: ; <br /> '" =" � ; <br /> -- Addres: <br /> r 30'►f. �� � ►�30"►1 � <br /> _ r>'� /i�C% <br /> ��. <br /> � - Telephone Number <br /> ` � <br />�� - �� 1 �' � .� 4 <br /> � - . �;. _ -- �„ . Dafe <br /> / - , . <br /> Inspecror's Signafure — -- - � � "`, � " . 5 �•,.J) �_(r�. <br /> — ��i C�O �'-�� y:_��'f..� Fee <br /> �/ �7=. C'.f�F_C K�' - <br />' -- <br /> n,.�' ' -- - --- � — - --- —.—... � ' <br />