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Kermit No. Z..2.� 2 13 everett <br />APPLICATION FOR DRIVEWAY PERMIT �e, <br />CITY ENGINEERS <br />EVERETT, WASH. Approved By <br />The Undersigned ]R C� C� E (Z 1\�,1 - -17--=\ 1A, Dale Approved <br />Hereby applies for permission to CC) Kl S 1 R R 6n Val Gi r t Pga:Pe I— <br />At the following location r �3 n ^-A- eO A k-I=-7 <br />SKETCH <br />(Work to be done) <br />t=X. CONC. WALL <br />LoT 32 <br />r <br />N CD br <br />SCALE <br />30 <br />WA7-M9 SBRVICr= <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims for damages that may arise because of the <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove some upon notice from the City and to replace all <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE i <br />n <br />CA t,C e «(;, p eel -0ceCO3v 11-2,-7- 73 <br />Inspector's Signature <br />s i T1� CHECKED 10- �2it-73 <br />Dole <br />F—DGE o t= <br />PA v'r <br />5 V-c�Tr o f� <br />Variance aequired <br />Yes_.................. <br />No....................... <br />CfT't,v 7 <br />/ Signature of Applicant <br />Address <br />v S� — /L7 f;> <br />Telephone Number <br />�icd •s-fi-��t. 2 �c ! � I.� <br />Date <br />!/ram ram` Fee <br />ham- I���o""`���aG -� 3 <br />A DEI,T�APPROVALS <br />-73 Engince/s�-7_r <br />er <br />Street <br />i <br />Ca m m U Nl ahan5 .cif.- - <br />1-- <br />Q <br />O <br />