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�7�-<{., <br />. ,--� <br />Permif No. ..... ..- -----�---........._ <br />APPLICATION FOR DRIVEWAY PERMi'; <br />everett <br />CITY ENGINEERS G;'`�;_,� <br />EVERETT, WASH. ' Approved By <br />%%A/�<'.� ��� <br />The Undersigned �� �� u'' �� �� � 1 Y i 1'=. ':1 .` Date Apprc'ved <br />Hereby applies for permission lo �%�f 1ST2�_1C:�` F� �'� %=- �'J ;'> �''' �' D �iJ � 'i T �} -F"s � X � S � . _ <br />D'RIUC vJA4 --- --- <br />At the following bcafion � S 2 � '�� �� , �' � ��– �� <br />SKETCH <br />IWork to be donel <br />Lo'C S <br />The undersigned owncn c�reby agrces lo hold and seve harmless ihe City of <br />Everett from any and oll cloims ior damages that may arise because of �he <br />installotion and maintenance of fhe improvcment hcreto applicd (or ond <br />further agrees to remove same upon nolice lrom Ihe City and fo replace all <br />public proper�y damaged thereby. <br />DRIVEWAY SECTION <br />NO SCA�E <br />� �� � pVDi�-�„., <br />Y <br />�_ I" LIP <br />f30 "l� '7'3—`1 <br />� � L,.,..i' . � <br />, � ` � � �ti �� � CV.)'��•�, . � .I <br />Inspeclor's Signalure <br />�� �fl€��L� 3-/,� - '� <br />Dale <br />�XISTtrtG <br />G/lAVEL <br />�R�VEW>1`�' <br />Varioncc Required <br />Yes. _. . _ . . . . .._.. <br />No_ ._._.... . . . <br />� - � j�..n��:4� <br />4 �.. � <br />/'7T ti�� v3�). ��(.r �.,_"_.�'-- <br />�!'$ignalure ol A('plicenl <br />l% <br />/f] /�i <br />%J e�-O �Y'�-�. . �.e.�_ fS'.t_ . �.tle' <br />��Ad�ress .:+. �i^��,? <br />3.�3 -,4.�'0 9 _ <br />7elephone Number <br />j, '� � <br />%%1<t:<f.. !]�/9?3 <br />Dafe i� <br />L� � 1��, <br />� �Q� _ - / ,: ' � � �7 <br />�� —�'�� �'�.)�.�- �ee <br />.t, <br />—t� , <br />J <br />,� DEPT_�P�PO"AI.S <br />/�� (/-`�) . p/,�� <br />Engincers J�` _�_ ��.`�-l/—�'��"�''' _ ' � �= - i� � <br />Water � � /� 3.-- /. S - <br />�.\ Streel � � � � � . . . <br />Comm�...�...ito��.. _. �. --...� __. — ' -- --' <br />