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� �7 <br />Permit No...% ...... .� ............. <br />A�PLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned--- � !s_�^ �^—{,\ - ~ �% �`-' �--� f�`� <br />Hereby applies for permission to � <br />At the following <br />SKETCH — - � — <br />(Work to be donel <br />-�';ri�, <br />'` _ <br />: _:l-. . ,-� - . <br />1 „' 1 ! <br />everett <br />�,- �. �-.�a,,e�.y <br />Apprnved By <br />s- 9 -'��`, <br />Dote Approved <br />C� <br />�� <br />= � sl lE �; <br />yY�/�TFi'' '.,'-� t f//rC = ... ' %cJ /5 F=: <br />T o ,ll::; ,� i,�Y D(vNE�' <br />L <br />P,C�IU12 % U <br />/I��/UEv//i'/ CUN9%k'ucj'!��.'/ <br />I ���I i-ci ��-� M��:��-Cc::..w.� . • � <br />�. I u 5 MN��P�ur� ^: ,\ /\ ..•/ <br />-�_ - �/ __ � __ �' _ - <br />, `; .,; _ , r ,:.> <br />l--4GE .PAI/FM�� ' _ _ X'�5�� _ _ _ _ _ �. • ' .. . . � <br />�� , ii <br />-='�9 CDJ' �:.;E�L��IK� �� . . <br />. .- J.L y";'-�— _--- - -- , <br />Thc undersigned owncr hnreby agrecs lo hold and snvc harmlezs Ihc City of <br />[vei^.tt from any and all claims for damages Ihot may arise because of Ihe <br />mstallation ond mointenancc of Ihe improvemenl herelo applicd (or ond <br />furlher agrees lo remove same upon notice irom ihe Cily ond lo reploce oll <br />public property damaged Ihereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />— 2� <br />I" LIP <br />30"—� _ _�_301�"1 <br />—T— <br />�' Y'f�W/ �S� �7�' �y` �� <br />Inspecfoi S Signolure <br />:/.�� %/L/Y//� ���`7%�1 <br />Dafe r <br />�'.. ' <br />I <br />Varioncc Requimd <br />Yes . . .. . _. -- <br />No_ _. .__._.. <br />-Fr�+z '�� ..-� <br />� l����''�% �� �'f I;� /:v <br />� _ <br />� <br />��� �� � _:��Y <br />_ � <br />$ignalure ol Applicont <br />`�:L-c' K-Jlxf/=.;�.(('n/i ,'.+' <br />_ _ _�_�--=�-=.y __- <br />. _ nda,�3: <br />� • i��..'rl'r'_> , � <br />_ -�:�.� <br />Je�ephone Number <br />; F. <br />� -�r- l ��—_ <br />Dafe <br />$ / � 1 <br />/i �— :T�+^ �c� �_J- l" �'\ <br />( <br />-� Fce <br />�-,.,, .�r <br />DEP�. APPROVALS <br />� t < <br />Engincers �Cn... i9�•"L. `� � ' � <br />, Water_I�iy�a�_./l/A.l• <br />Strect -' � f% � � � �� <br />rommuni�u�ioo: -- - - - -- - --- - - <br />