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7 � / <br /> Permit No. .l. ..�.._. ...:� � everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS <br /> EVERETT, WASH. Approved By <br /> c:��8 /�T� <br /> The Undersigned���--�� ��a 7 �`j'�� Date Appro�ed <br /> r <br /> Hereby applies for permission to ��� �'���Z- • � J�J � 1 D[�`+ A j � �-� . � 4=�\ \/ � �/Y %�! `� <br /> At the following location �S3 i �� 1 N'� �\�� <br /> SKETCH � <br /> (Work to be done) <br /> � N�i �GA:»�'c <br /> �tn, <br /> V' I <br /> I <br /> I T <br /> L <br /> 3 s 31 �� <br /> � <br /> m <br /> ___ - --_ -- _ __�- <br /> , , <br /> _ _ ---- --- <br /> -- - - - - �'-'; - - - � . <br /> �13' --� <br /> � PAiNE �*vF <br /> 1 _ _ _ -- -- <br /> � i i <br /> I I <br /> ; i I' ; <br /> Thc undersigned owncr hereby agrees lo hold and save harmless Ihc Cily of Varionce Required <br /> Evcrett irom any ond oll daims lor damages thol may orise becouse of the Yes._. .. <br /> ......._..._.__. <br /> installolion and mointenance of fhe improvemenl hereto applied fo� ond No_ .. <br /> fvrther agrees b remove same upon nolice from fhe City ond to reploce nll �� ��������'---����� � <br /> public properly dnmaged Ihereby. <br /> �� .. _ 'i � � (i: � <br /> , � ' <br /> DRIVEWAY SECTION � ' � ' � � <br /> �� �`'� � i� ( ;� , . ; i :: '�� � <br /> NO SCALE - <br /> � ��� � �� SignaWre o( ApplicanY'. <br /> I�� LIP ��' _ <br /> Ad�rezs <br /> 30" ---- 30 . . .. ._ <br /> ielephone Number <br /> / <br /> l � �� �. �i <br /> ? r �� Dafe <br /> �o�-,,,;. s s -.1„ y �f_ <br /> .5,,' <br /> Inspecfois SignoWre � �� .�.�a�:. j�c� �, / 6-'��� <br /> � � w y ''1�GG �� ''`/'/S'7 <br /> . Sir,r' C�,_rc'.e�D �/Gr�q' I ,�' ° F� <br /> Dale <br /> � � - - %4 <br /> DEP7. `PR V �L$ � <br /> � f J <br /> Remar;;t E'nginee� rf�" 6%�%�� <br /> Waler <br /> ,. <br /> Street '-i - - <br /> .• . <br /> Comrr.� - - . _ <br />