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"2 Pe�m�f �;o. 72-�- /. �.._.. <br />CITY ENGINEERS <br />EVERETf, WASH <br />The Undersigr,ed <br />APPLICATIGN FOR DRIVEWAY PERMIT <br />� <br />e�verett <br />�� <br />� <br />L� Approved By <br />C1�I�fOV1 ��' /�%3 <br />Herebyappliesforpermissionto_LN�+'TAL�..- A ZS � U, I�� p+� �cWh�l <br />A• the following loca�ion 5� � q �c � R t+� ��� <br />SKE7CH <br />(Work to be donel <br />IJ O <br />�'�'.CA L C: <br />54'�" Si�- <br />' <br />Thc undersigned uwner hereby agrees lo hold and sove hormless ihc Cily of <br />Everelt from ony ond oll claimz for domages �nol may ar�se because of ilie <br />ins�allotion and mointenance ol fhe impiavemenl hcrclo opplicd for ond <br />(urlher agrees to remove same upon notice lrom ihe Cily ond to replace oll <br />public property damaged Ihereby. <br />ORIVEWAY SECTION <br />NO SCA�E <br />— 2�� <br />+I�� LIP � <br />L 30" 30" <br />� <br />.� <br />�' �.���:�,� _—ll- ?� <br />Inspedor's $i n6lure � <br />�,�-�� <br />.s-; %.� �! ��z:,�� i,� ;2� �s <br />Dafe <br />Remarks <br />Variance Required <br />Yes .. . .. ._.. <br />No _ <br />. <br />�� �L %/" � �Cs�'. �_�.., <br />Signalure of Applicanl <br />/ . <br />� <br />�%�Ii% � ����� .;�- .;� <br />Address <br />��'� . .l r j1 <br />ielephone Number <br />/ .%,_,� �� ��, .. <br />Dafe f � � , � � . <br />�" /' <br />E ILr �U Au,i <br />Fee <br />, <br />DEP VA <br />Enginee ✓ � l���z'%z6-73 <br />"y- !�3—i�- �'L <br />Wuler ., _,T <br />$Ireet li-.._q / � r.... a G __ <br />