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- � a <br />Permit No.��"..T `" ' <br />......_ _...... <br />A�PLICATION FOR DRIVEWAY PERMIT <br />CIT'i � IvGINEERS <br />EVERETI WASH. <br />�ihe Undersigned. ��� l� ti � �� �� � � � <br />i� �' Z r:: <br />Hereby applies for permissio•i b W� Uf=N �X i S�"tt�( �' U�J l�� W%�' <br />At the following location � Q�o aL Yi`�7�'iC f3[ ��7 <br />SKETCH <br />IWork fo be donel <br />� <br />_ 4? "� ST. <br />�� <br />U <br />� <br />� <br />everett <br />�.�" ,/ <br />__//( �'''ir' /�.._� <br />Approved By <br />�' '=: ��� _ '� /7%:l� <br />Date Approved � <br />B Y �. � - <br />� <br />--�,� <br />� J <br />_l11 � O <br />��'_�'�- ) <br />� �XISTIivG D2.EVCInlAY <br />� •.1 �uo <br />— --L�=ivet�F�� ,apv, n�:},v <br />The undersigned owner hereby agmes to hold ond save hormless Ihe City of <br />Everell from ony and all claims lor damages thal may arisc becauze of Ihe <br />installation ond mainlenancc of the improvement hcreto applied for and <br />furlher agrees 10 remove some upon notice from the Ci�y and tu replace all <br />public propertv damaged thcreby. <br />DRIVEWAY SECTION <br />NO SCALE <br />� I" LIP � <br />30" _�_, a,� <br />��_ <br />I�`/` �`1� CJ <br />Inspec7or's $ignofure <br />�, /; F C__ � =;;: ; - �: ./ % -, .. <br />Dafe <br />Remorks <br />��-���� 7z_ <br />����� <br />Variance Required <br />Yes. . __.._ . ..... <br />No_._.._ ... . <br />� <br />U , <br />i , <br />i��N,�t�.�._._ << i� �,A_�r,'i,_i,;� <br />Signafure ol Applicanf \ <br />�,r���„ �', /,, � �, �-'i ' .l <br />zdd,e,� <br />;; ._.�_ , <br />ielephone Number <br />�i <br />_,4,� ( / /!'. �— . '..' .; <br />Dafe <br />s " _ � <br />Fce <br />Dr; N � ��vl �/ii����' <br />DEPT. APPROVALS <br />� , <br />Engineers ,.� � L�- �' =f: i– � �� � � <br />� `�.t -: /;. . .. � ; i <br />Water. ^ � _ . ... . �, ,. <br />Strect_�-�'°�''i-.�– , _ � <br />' � �, . ��� � , <br />Comr,.cnicntiom_�_ ._ _. _ ._ . .. __ <br />