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Permif No. �.�/� everett <br /> APPLICATION FQR DRIVEWAY PERMIT <br /> CITY ENGINEERS <br /> EVERETT, WASH. -- Approved ey <br /> .�f�ii�.yB,�.t� /_5�/97/ <br /> The Unaersigned T �nl. E30 RT N EIZ ___ Dote Approve� <br /> Hereby applies for permission to—�'nNs7' A 2H � �7 ���� A �� ��� <br /> At the following location �/o/- DA K�s .��/�. <br /> SKETCH O <br /> IWork to be donel � I � <br /> a� � •,I�p ( 1 <br /> .? <br /> .d '' � �* N <br /> N � O �. 0� <br /> v • � <br /> y� b9 °�o �' �'�c 4q <br /> ��O Q Q, <br /> JI <br /> t y��l I�a <br /> y <br /> I �� � . <br /> �+d� ---- �U � <br /> ,/ <br /> LA7ER DAT� NOTE: oWNER Ft11LL REP1-AcE <br /> N9'(� ' AT I3RoKrrJ 5��� <br /> plr.� „�,�c t3E rqrEN ovT" € <br /> REP�ncen n�TN �u��" F. s/�•I. <br /> PAGIF` IG A�/ E. <br /> The undersigned ownen c�reby agrecs to hold and save harmless the Cily of Variance Required <br /> EvereR from any and all daims for damages ihal moy arise bemuse of thc Yes .__..____........ <br /> installatinn nnd maintenance of the improvemmt herc�o opplied for and <br /> Na _ .... __ __. ... <br /> further ugrees to remoie same upon notice from the City ond to replace all <br /> public property damaged thereby. <br /> J , ul. �3�,� T�t/c`;� s�, <br /> l`�- � ;1�i l :+ } l�i9�J.L�y[f��ii.�t� <br /> j Signalure of Applicanf � <br /> l �3/..j3 �LJEt�- Df=�l'T,4L <br /> �•; � , Add�ess <br /> ..?.i�— ;:�/l '�/ <br /> Telephone Number <br /> �o�:� 2L� <br /> ' oa�� <br /> Op l <br /> 'n;pecfor's Signalure S ��- (/x0��� �D/1� ��� <br /> 3���_ C�.A_..c <br /> sir.�' Cl-.�FC.r� �� _ . <br /> Fee <br /> �o�e <br /> , DE.T. APP":JVALS <br /> Nema�ks Enginecrs" � '�)���/�U /�� <br /> ' /O—.?7—�/ ' <br /> Water....�[�21.�• <br /> __ Streel "— <br />