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. � <br />Permif No...� �'...._. ......._.... <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />everett <br />������ �-� <br />� Approved By <br />J. : - - � \l '._�`f'l:�.tl).5'ER%..5 /�%I' <br />The Undersigned rV �r�'- '-7 �' � / G��1 � Date Approved <br />Hereby applies for permission to C�%�`=�' � r i�1"�' S T4 N" =`' D j� b' � <br />, <br />At the following <br />SKETCH <br />(Work to be donel <br />_ ., <br />. `, <br />23 0 � uh-':_' ��/ol�>� A V�'��:�.: ��. <br />O � l .� �i0�'f1,q <br />/ �C��!�` <br />The undersigned ownen c�reby agrees to hold and savc harmless the City of <br />EvereR from any and all daims lor damoges fhat may arise because of the <br />installation and mainlenance o( the improvement herelo applied for nnd <br />(urther agrees to remove same upon notice fiom the City ond la replace all <br />public property damaged fhereby. <br />Inspedor's $ignafure <br />.,zi� /' � /%F�C'� l' � 7 ��g �%L� <br />Dafe <br />Remarks <br />�.,'�� -���� . � <br />GaNSTIiv-CT iJEW <br />T�' rc7�.�l=eNM 'vJiiia <br />_� .�.��-,�� 1'JiENT APF�ROVALS <br />�t�J61fVEEk —_ <br />�'.itH 3 T.__ <br />�: �r sur•r. _ <br />;;1UlICAT7 na SUPi. <br />��i�,FF!I;�N IIJFGR <br />; ; :,r�;air�c rr�cir� <br />:ll, <br />S��ti' <br />r-xi�% w;�; �. <br />Variancc Required <br />Ycs . .........__... <br />No._._..___ __.... <br />� <br />t�j sc�ir'i = go <br />1 <br />� <br />� 'J <br />i <br />/ <br />/�; . . �� � � / <br />'I j i;,j�7 r/% /' , %�,'.. <br />,.; <br />�� Signafure of Applicanf � <br />f' f��'''�.A 1..%l��/<�!'�I �'�' <br />; > R�,vuA?`i'�1 , �� �r'�, <br />�T���_ - <br />Telephone Number <br />9 13�70 <br />oar� <br />s ��JC � ,�t � <br />Fee <br />DEPT. APPRQVAL <br />. � '/ '� �' % ' <br />EngineErs �- � J�� /T�, <br />i <br />Waler�.L.—� � . <br />Strect � - . , . <br />