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� _ _ _;-. , <br /> -� .-' - - <br /> Permit No. --�_..�...�...�. <br /> everett <br /> APPLICATION FOR DRIVEVdAY PERMIT <br /> �" <br /> CITY ENGINEERS � ��. <br /> EVERETT, WASH. Approved By <br /> /!'C�//c-�lf7lr,"� '�1 ��'7�/ <br /> The Undersigned F � � r ��=� �ewNER : ROY TNo25EN� Date Approved <br /> Hereby applies for permission to n`^r�T /� l 13 � 1��[t/ A /'A M P ('r0I!J "- TO PA 2 f!I �J U /��J TD y ol �2n0� <br /> _7T lv/Lt R - L15EU in/ €" odT TizlaF�/c . <br /> At fhe following location i� in- PAc�Fi C A V E <br /> SKETCH <br /> IWork to be donel <br /> - - - - --_, -_- - - -- -- : - ._ .-_. <br /> __ - = <br /> GR�. r� D AvE . <br /> 8 -- --- <br /> _- -- - ---- - <br /> — --- - . _ __ - <br /> �__._—- - -- � —'-----�. .- . . 8�e+ _ . .__. . - - —�— ---- --—� <br /> — ----- -- � � -- ------- ----- <br /> — r — _—' <br /> —J- - - - - , .\ � \ Y`�� ��\\\ <br /> .� � I <br /> �, ���1� \ ..`` -�-- �.��'\ �`�. <br /> i � � . -� �\. <br /> � ; ��= ., - -.. <br /> ,,, <br /> , ��\� : - <br /> . <br /> � y �� ,.J T \ \W . .\_ I <br /> I \4 �` � '3,0 ..�� -...`�\ <br /> ; �\ .,,+,ti � ,\.~ � � I '[� <br /> `' �• '� D <br /> ., <br /> i V �',�.�_� ; <br /> �--� I -. � � <br /> � - <br /> ,-- .�" --- -- -- --�- _ - --------- ---\\-- -� � <br /> � �_. ; � . � � <br /> The undersigned owncr hereby agrees �o hold and save harmless the Ci�y o( Varionce Required <br /> [vere�t from any and all claims for damages thot may arisc bemuse o( the Yes ... . ._.. <br /> installalion and mainlenancc of fhe improvement hcrefo opplied (or ond No � <br /> furiher ogrees to remove same upon notice from the Cily ond to replace oll <br /> public property damoged thereby. � <br /> i'� <br /> . �_ _i,- � <br /> Signalure o/ Applicanl <br /> 7i; <br /> — t f" i — <br /> , e . Add,e,: , <br /> Telephone Number <br /> Dale <br /> Mspecfor's Signature $ / `� 'E'v.:� �!`� <br /> v <br /> Fee <br /> ._.j/T.£ �Nf_=C.�i�� ��/3�7. <br /> Dole <br /> DEPT. P.PPROVAlS <br /> �f/ %tofi'��Y /���'�// <br /> Remorks Engineen- � <br /> Water � T /!.' �- jcF� 71 <br />