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Permit No.�l..�.�:-_/.1 <br />CITY ENGINEERS <br />EVERETi, WASH. <br />The Undersigned �"�" ��� <br />Hereby applies for permission to r <br />APPLICATION FOR DRIVEWAY PERMIT <br />,; ,Y � - <br />� .. li`� G- � . " . <br />everett <br />� J � <br />� <br />roved By <br />� ,.� �,l , \ q �.�, y <br />DNe Approved <br />F . ... "-9.[�%� . . �� _ !'., .. �..�_ <br />SKETCH <br />IWork to be donel <br />EX is <br />/za- <br />�n ,°\; sG � <br />N <br />/NSTALL iL.4A/�"S <br />� �, .. <br />y� <br />�� - <br />M� <br />Z4' <br />/NS T� L L �' PL.4�VTS <br />The undersigned owncr hereby agrces to hold and save harm�ess Ihe Cily of <br />Evereu from any and all claims for damayes thaf may orise beccuse of thc <br />installation and maintenance of Ihe improvement herero applied for and <br />furiher agrees lo remove same upon nofice from the Gily and to replace all <br />public properly damagco Ihcreby. <br />i. <br />Inspecfor's Signalure � <br />s/��: <br />Dafe <br />�1�I��Y 1 � iA2 T�? <br />I "=40` <br />Variance ReGuired <br />Yes _____..._ _ _._. <br />No.._...... _......_....... <br />'G�,. �/�flc �_ .O, ' '-c.i/ <br />Signalure ol App1%anf � <br />CC / <br />� � 'i <br />7 /.' •J� �-.�! L�.? CL�.i • � <br />Address <br />j%%�" '7 .5 '� . [^ �'7 �/ 5� <br />Telephone Number <br />Dale <br />� <br />Fee <br />DEPT. APPROVALS <br />Enginccrs <br />Walcr�)�/ •...��r ,�, '� — 4/ (,� <br />Sireef "' ' ' " � ' :'.c. � r � / A-t-' <br />—�. , . <br />,.. _ . i...:lions�• -e � _.. .__"__ — __ <br />� <br />