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�+ . �/ ''1 <br />Pert�il No..--� � ''� <br />_ <br />APPLICATIO�I FOR DRIVEWAY PERMIT <br />, <br />J <br />V �, <br />` V � <br />CITY ENGINEERS \�� �^. �� <br />�� v <br />EVERETT, WASH. �'y <br />ewerett <br />� /�liV[/� / <br />Approved By <br />�%C,7��,-,-� i ���i� <br />The Undersigned �'%f' �' � ���✓��— T T Dat� Approved <br />Herebv applies for permission to /NS TALG %�SP." %%=Ti�. _ �:'i s : - �/G'J _ <br />. <br />At ihe ��!lowing <br />SKETCH <br />IWork to be donel <br />-7z s ' `- -; .��rr�r <br />��oP��ED f1S�°� <br />D /nJ <br />\ <br />'P• \� <br />v�� �, <br />� o� <br />�\ <br />T/C GOr✓G . <br />The undersigned owner hereby agrces to hold and save harmless ihc City o( <br />Everelt irom any and all cloims for damages that may arise becouse of Ihe <br />inslalla�ion and maiNenance of the improvement hereto opplied for ond <br />further agrees lo remove same upon notice from Ihe City and fo replace all <br />pvblic property damaged Ihereby. <br />�- :7 � <br />:) <br />Inspedor's Signafure <br />. S.TF �� � %J �/�70 <br />Dole <br />Remarks <br />_, . <br />725 � <br />._ ; . , <br />� cR DF�IINAGE <br />Variancc Required <br />Ycs <br />No <br />� 1=_�_ <br />� . � � � �.- /' � � <br />/ <br />�J��� � <br />Signa�ure o( Applimnl <br />� <br />��- ' �/�.i. i�. �! <br />� Address• <br />zsz - �� � � <br />ielrphone Number <br />-.�'� /C - %C> <br />Date <br />5 ./ �'� sb.r i�D•"'s'i� <br />fec <br />DEPT. APPROVALS <br />Engincers -^"f�,��,.lt, ��"� y//�" � <br />Waler (�C '-`J%; ;/ ,., — <br />