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-. , . _. <br />. i '- , <br />P�rmd No. __'_-:__ ......:........... <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WnSH. <br />everett <br />; <br />-,i , . _ <br />Approved By <br />The Undersigned v�� �,• f�` ��_ � b IU i'.� ' DotelApproved _ <br />� <br />Hereby applies for permission lo �-� )P ..-�� �' '_ ` \' +'' i--' ' f;) `� 1=;/1r� �.-=- i_%'� L�i �Z v <br />.� ..-. <br />Af ine followir,g localion �� ; _� I, . �" =�i"= ¢-. ; 1 —. 1 � ti � - <br />SKETCH <br />IWork to be donel <br />54TN Sr. <br />s, v� <br />r <br />E17GE- Of= <br />I� R _ �'Nt� �-` <br />I � ��NSTALL 12'� CcJ!_V�=l� -Y <br />� 3--�� r--- <br />y I <br />Ll/�i�7E/2. <br />u <br />The undersigned owner hereby agrces fo hold and save hormless IF.e Cify of <br />Everett irom an� ond all doims for damages Iho1 moy arisc bemuse o( the <br />installalion and moinlenance of thc improvement hereto applied for and <br />iurther agrees iu remove same upon notice (rom the City and ro replace all <br />public property damaged Ihereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />� `� `� � <br />I" LIP <br />� 30"� I 30" <br />Inspecfor's Signature <br />3j/T� i:/��`-����T� .`Y-�r�-7.� <br />Dale <br />53i5 <br />, N ^ .'=,:�i_r <br />yYA7�Fi:._ v�1r'_VE= CovF_,.:�s <br />(ADJ U:-: i F,L�.sN W/r,y ���Vcw,�Y} �� <br />FIRE NYp�,AN; <br />�•,1 <br /><k � ; <br />Varinnce Required <br />Yes _ <br />No <br />� _ �:_ <br />� 1 «. %"��_ ,�_.--� <br />Signalure o( Applicanf <br />/33s ��ftn�,�l.� .�1� � - <br />Addreis <br />Z'> "—i.iµ%��('. <br />ielephone Number <br />Dole - � <br />��;/.� �i" � �-s <br />� I , l.;,.:.+-- <br />�� i� i � fee <br />I <br />�DEPT. AP,PROVALS �' <br />Engineers � � '�� : � � �5�73 <br />i�' �`' Waler l � . ''7��/f' L10iQ <br />� C .� <br />KStreef-� �.`�%. /.=-.-ti..a�c-+ �i-� ' <br />. � <br />Comrovnicalions—. _ �_�_____ <br />